Physician
Ellinwood Pediatrics PLLC
Ellinwood Pediatrics PLLC was paid $628K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoELLINWOOD PEDIATRICS PLLC
NEW HARTFORD, NY 13413
NEW HARTFORD, NY 13413
33aNPI1245643501assigned 06/04/2014
33bProvider typePediatrics Physician
28Total paid$628K
24GClaims17,965
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#367 of 1,983
Median peer was paid$17K
This provider vs. median37×
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 | 950 | $43K | |
| 2019 | 1,660 | $72K | |
| 2020 | 1,762 | $80K | |
| 2021 | 2,509 | $102K | |
| 2022 | 5,126 | $138K | |
| 2023 | 3,389 | $100K | |
| 2024incomplete | 2,569 | $94K |
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 | 40% | 4,256 | 3,820 | $254K |
| 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 | 15% | 1,072 | 1,009 | $92K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 884 | 881 | $69K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 894 | 848 | $62K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.8% | 1,547 | 1,498 | $55K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 447 | 447 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 2,028 | 2,002 | $30K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 194 | 192 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 428 | 418 | $3K |
| 92551 | <1% | 640 | 639 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 804 | 802 | $3K |
| 90461 | <1% | 585 | 576 | $1K |
20 more codes
| 90619 | <1% | 30 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 185 | $975.70 |
| 0072A | <1% | 17 | $559.40 | |
| 0071A | <1% | 13 | $423.52 | |
| 99422 | <1% | 14 | $284.02 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | $146.10 |
| 99173 | <1% | 485 | $138.57 | |
| 83655 | <1% | 12 | $123.48 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 371 | $0.00 |
| 99000 | 0% | 63 | $0.00 | |
| 90674 | 0% | 42 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 67 | $0.00 |
| 90688 | 0% | 46 | $0.00 | |
| 90647 | 0% | 26 | $0.00 | |
| 90686 | 0% | 30 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 91307 | 0% | 18 | $0.00 | |
| 99072 | 0% | 2,590 | $0.00 | |
| 90670 | 0% | 119 | $0.00 | |
| 90661 | 0% | 18 | $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 officialIRISH-BENJAMIN, KATHY-ANN (OWNER)