Physician
Pelina, Buenaventura
Pelina, Buenaventura was paid $448K by Medicaid between Jan 2018 and Jun 2020, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoPELINA, BUENAVENTURA
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
33aNPI1194817783assigned 09/29/2006
33bProvider typePediatrics Physician
28Total paid$448K
24GClaims13,354
24DCodes billed19
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#441 of 1,983
Median peer was paid$17K
This provider vs. median26×
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 | 5,502 | $209K | |
| 2019 | 6,669 | $199K | |
| 2020 | 1,183 | $39K |
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 | 52% | 4,581 | 3,995 | $233K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 2,008 | 1,977 | $45K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 403 | 389 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 356 | 333 | $25K |
| 92552 | 5.6% | 1,142 | 1,101 | $25K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 365 | 353 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 743 | 711 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 285 | 281 | $21K |
| 97803 | 1.9% | 708 | 701 | $9K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.1% | 347 | 341 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 544 | 531 | $4K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 159 | 154 | $3K |
7 more codes
| 99173 | <1% | 1,077 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 99 | $456.16 |
| 90461 | <1% | 140 | $217.91 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 15 | $117.79 |
| 90686 | <1% | 334 | $75.12 | |
| 90670 | 0% | 34 | $0.00 | |
| 90734 | 0% | 14 | $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.