Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Rosedale › NPI 1174610091
Physician

Springfield Pediatric P. C.

Springfield Pediatric P. C. was paid $304K by Medicaid between Jan 2018 and Oct 2024, across 44 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 23% of everything it billed.

33Billing provider infoSPRINGFIELD PEDIATRIC P. C.
ROSEDALE, NY 11422
33aNPI1174610091assigned 10/10/2006
28Total paid$304K
24GClaims62,684
24DCodes billed44
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Pediatric Cardiology Physician providers in New York

Rank by total paid#15 of 89
Median peer was paid$3K
This provider vs. median98×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20186,500$105K
201912,383$97K
202011,389$37K
20219,853$25K
20227,688$11K
20239,695$20K
2024incomplete5,176$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 23% 4,775 4,696 $71K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 7,047 6,472 $66K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 9.9% 4,922 4,894 $30K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.6% 1,928 1,918 $26K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.4% 1,325 1,310 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7.1% 1,558 1,550 $22K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 5.6% 1,325 1,325 $17K
92552 4.5% 4,280 4,275 $14K
99403 3.0% 1,208 1,175 $9K
97802 2.2% 3,981 3,927 $7K
99173 1.7% 3,696 3,694 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.4% 282 273 $4K
32 more codes
90461 <1% 1,614 $3K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 196 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,271 $980.00
H0001 Alcohol and/or drug assessment <1% 1,603 $909.27
90670 <1% 213 $640.00
S9451 Exercise classes, non-physician provider, per session <1% 3,380 $636.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 314 $504.56
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 1,513 $461.50
83655 <1% 695 $441.00
90716 <1% 201 $432.00
90734 <1% 226 $340.00
99402 <1% 43 $255.35
90707 <1% 131 $200.00
90685 <1% 1,170 $106.22
90686 <1% 47 $95.15
90648 <1% 34 $50.00
90633 <1% 91 $24.00
G9820 Documentation of a chlamydia screening test with proper follow-up <1% 1,334 $17.70
S9470 Nutritional counseling, dietitian visit <1% 693 $10.00
94760 <1% 299 $2.69
3725F 0% 739 $0.00
3016F 0% 702 $0.00
90671 0% 16 $0.00
90649 0% 60 $0.00
90715 0% 14 $0.00
3008F 0% 4,183 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 2,468 $0.00
1000F 0% 699 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 1,571 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 138 $0.00
4293F 0% 684 $0.00
90620 0% 15 $0.00

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 officialNAZARIAN, HABIB (OFFICER)