Physician
Irondequoit Pediatrics, PLLC
Irondequoit Pediatrics, PLLC was paid $1.62M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoIRONDEQUOIT PEDIATRICS, PLLC
ROCHESTER, NY 14621
ROCHESTER, NY 14621
33aNPI1164727475assigned 01/18/2011
33bProvider typePediatrics Physician
28Total paid$1.62M
24GClaims31,960
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#202 of 1,983
Median peer was paid$17K
This provider vs. median96×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 4,803 | $265K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 11,035 | 10,299 | $744K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 2,893 | 2,751 | $287K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 15% | 1,648 | 1,609 | $251K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 4,002 | 3,986 | $67K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.1% | 4,658 | 4,629 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 505 | 505 | $46K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 320 | 320 | $30K |
| 99051 | 1.4% | 2,701 | 2,619 | $23K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 966 | 964 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.0% | 578 | 576 | $16K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 247 | 225 | $13K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 471 | 463 | $13K |
22 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 85 | $10K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 119 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 173 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 86 | $8K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 243 | $4K |
| 96127 | <1% | 653 | $4K | |
| 0071A | <1% | 103 | $3K | |
| 0072A | <1% | 74 | $3K | |
| 99443 | <1% | 23 | $3K | |
| 99401 | <1% | 156 | $2K | |
| 0002A | <1% | 36 | $1K | |
| 99442 | <1% | 14 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $1K |
| 0004A | <1% | 22 | $884.26 | |
| 0001A | <1% | 17 | $693.89 | |
| 90480 | <1% | 12 | $445.00 | |
| 99429 | <1% | 16 | $375.00 | |
| 99188 | <1% | 12 | $340.25 | |
| 99050 | <1% | 15 | $243.13 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 13 | $202.96 |
| 99441 | <1% | 14 | $198.85 | |
| 99177 | <1% | 38 | $135.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBENNETT, DOUGLAS (MD, OWNER)