Physician
Northeast Pediatrics & Adolescent Medicine, LLP
Northeast Pediatrics & Adolescent Medicine, LLP was paid $5.13M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoNORTHEAST PEDIATRICS & ADOLESCENT MEDICINE, LLP
ITHACA, NY 14850
ITHACA, NY 14850
33aNPI1184724189assigned 09/22/2006
33bProvider typePediatrics Physician
28Total paid$5.13M
24GClaims127,769
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#62 of 1,983
Median peer was paid$17K
This provider vs. median303×
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 | 6,260 | $278K | |
| 2019 | 12,389 | $451K | |
| 2020 | 18,927 | $617K | |
| 2021 | 21,087 | $839K | |
| 2022 | 25,022 | $1.13M | |
| 2023 | 23,000 | $965K | |
| 2024incomplete | 21,084 | $858K |
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 | 33% | 21,250 | 20,527 | $1.72M |
| 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% | 7,877 | 7,437 | $928K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 4,534 | 4,531 | $471K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.9% | 3,894 | 3,894 | $405K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 3,292 | 3,281 | $320K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 4.5% | 1,799 | 1,790 | $231K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 10,082 | 10,078 | $220K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.6% | 2,819 | 2,466 | $183K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.5% | 925 | 918 | $128K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 1,107 | 1,107 | $126K |
| 92551 | 1.7% | 11,307 | 11,300 | $89K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 7,201 | 7,171 | $77K |
56 more codes
| 99188 | <1% | 3,096 | $44K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 417 | $37K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 545 | $25K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 397 | $25K |
| 96127 | <1% | 7,023 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,960 | $13K |
| 0071A | <1% | 298 | $10K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 379 | $9K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 45 | $6K |
| 99406 | <1% | 1,549 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,289 | $5K |
| 0002A | <1% | 134 | $5K | |
| 83655 | <1% | 372 | $5K | |
| 0001A | <1% | 149 | $5K | |
| 0072A | <1% | 118 | $4K | |
| 90686 | <1% | 6,912 | $3K | |
| 91320 | <1% | 48 | $3K | |
| 90480 | <1% | 125 | $2K | |
| 0154A | <1% | 47 | $2K | |
| 90461 | <1% | 2,925 | $2K | |
| 99173 | <1% | 8,862 | $1K | |
| 0053A | <1% | 38 | $1K | |
| 96161 | <1% | 562 | $1K | |
| 0124A | <1% | 31 | $1K | |
| 90656 | <1% | 576 | $1K | |
| 96160 | <1% | 844 | $1K | |
| 0081A | <1% | 26 | $990.29 | |
| 0003A | <1% | 25 | $922.93 | |
| 0073A | <1% | 17 | $655.88 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 43 | $541.82 |
| 96381 | <1% | 13 | $250.12 | |
| 90671 | <1% | 281 | $226.89 | |
| 80061 | Lipid panel | <1% | 15 | $112.41 |
| 94760 | <1% | 3,428 | $22.99 | |
| 99177 | <1% | 260 | $4.45 | |
| 36416 | 0% | 1,898 | $0.00 | |
| 91307 | 0% | 494 | $0.00 | |
| 90723 | 0% | 1,026 | $0.00 | |
| 90680 | 0% | 323 | $0.00 | |
| 90677 | 0% | 243 | $0.00 | |
| 90381 | 0% | 13 | $0.00 | |
| 90716 | 0% | 44 | $0.00 | |
| 91315 | 0% | 45 | $0.00 | |
| 91305 | 0% | 70 | $0.00 | |
| 91319 | 0% | 30 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90648 | 0% | 2,072 | $0.00 | |
| 91300 | 0% | 404 | $0.00 | |
| 90670 | 0% | 1,500 | $0.00 | |
| 90633 | 0% | 323 | $0.00 | |
| 90734 | 0% | 86 | $0.00 | |
| 90707 | 0% | 45 | $0.00 | |
| 90681 | 0% | 138 | $0.00 | |
| 91311 | 0% | 15 | $0.00 | |
| 91308 | 0% | 37 | $0.00 | |
| 91312 | 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 officialUPHOFF, MARUGERITE (SENIOR PARTNER)