Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

IRONDEQUOIT PEDIATRICS, PLLC

NPI: 1164727475 · ROCHESTER, NY 14621 · Pediatrics Physician · NPI assigned 01/18/2011

$1.62M
Total Medicaid Paid
31,960
Total Claims
30,857
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBENNETT, DOUGLAS (MD, OWNER)
NPI Enumeration Date01/18/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,391 $63K
2019 3,574 $133K
2020 3,927 $177K
2021 5,053 $265K
2022 7,158 $385K
2023 6,054 $336K
2024 4,803 $265K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,035 10,299 $744K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,893 2,751 $287K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,648 1,609 $251K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,002 3,986 $67K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,658 4,629 $50K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 505 505 $46K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 320 320 $30K
99051 2,701 2,619 $23K
90472 Immunization administration, each additional vaccine (list separately) 966 964 $20K
90460 Immunization administration through 18 years of age via any route, first or only component 578 576 $16K
90832 Psychotherapy, 30 minutes with patient 247 225 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 471 463 $13K
90791 Psychiatric diagnostic evaluation 85 85 $10K
90847 Family psychotherapy with the patient present, 50 minutes 119 117 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 173 171 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 86 86 $8K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 243 243 $4K
96127 653 636 $4K
0071A 103 103 $3K
0072A 74 74 $3K
99443 23 22 $3K
99401 156 154 $2K
0002A 36 36 $1K
99442 14 14 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $1K
0004A 22 22 $884.26
0001A 17 17 $693.89
90480 12 12 $445.00
99429 16 16 $375.00
99188 12 12 $340.25
99050 15 15 $243.13
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 13 12 $202.96
99441 14 14 $198.85
99177 38 38 $135.00