Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Schenectady › NPI 1184817389

Schenectady Pediatrics

Schenectady Pediatrics was paid $63K by Medicaid between Jan 2018 and Dec 2018, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoSCHENECTADY PEDIATRICS
SCHENECTADY, NY 12306
33aNPI1184817389assigned 08/21/2007
33bProvider typeSpecialist
28Total paid$63K
24GClaims2,163
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Specialist providers in New York

Rank by total paid#555 of 1,221
Median peer was paid$45K
This provider vs. median1.4×

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$5.0K$10K2018201920202021202220232024
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
20182,163$63K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59% 866 708 $37K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 126 107 $7K
90472 Immunization administration, each additional vaccine (list separately) 10% 166 160 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4.5% 224 217 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.2% 44 43 $3K
92552 4.1% 192 190 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.6% 63 57 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.9% 20 20 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.1% 193 185 $720.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.1% 12 12 $704.59
81002 <1% 213 206 $420.00
90658 0% 44 44 $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 officialDAUNAIS, WENDY (ADMIN ASST)