Physician
Royale Pediatric Healthcare, PC
Royale Pediatric Healthcare, PC was paid $558K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoROYALE PEDIATRIC HEALTHCARE, PC
BROOKLYN, NY 11212
BROOKLYN, NY 11212
33aNPI1245657055assigned 03/19/2014
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$558K
24GClaims18,502
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#51 of 161
Median peer was paid$100K
This provider vs. median5.6×
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 | 1,049 | $45K | |
| 2019 | 1,971 | $81K | |
| 2020 | 3,223 | $94K | |
| 2021 | 4,428 | $94K | |
| 2022 | 3,131 | $97K | |
| 2023 | 2,882 | $89K | |
| 2024incomplete | 1,818 | $58K |
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 | 49% | 4,424 | 4,090 | $276K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 2,706 | 2,690 | $76K |
| 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 | 14% | 842 | 781 | $75K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 453 | 452 | $36K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 423 | 420 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 284 | 284 | $25K |
| 90461 | 2.8% | 388 | 387 | $16K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 53 | 51 | $4K |
| 90686 | <1% | 906 | 905 | $3K | |
| 99401 | <1% | 221 | 219 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 101 | 94 | $2K |
| 90651 | <1% | 27 | 27 | $2K |
20 more codes
| 96160 | <1% | 304 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,321 | $1K |
| 0071A | <1% | 26 | $1K | |
| 99383 | <1% | 14 | $825.11 | |
| 0011A | <1% | 15 | $714.60 | |
| 96127 | <1% | 239 | $372.81 | |
| 99072 | <1% | 545 | $253.00 | |
| 90672 | <1% | 28 | $112.41 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $85.40 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 12 | $14.04 |
| 90619 | <1% | 12 | $10.00 | |
| 91307 | <1% | 56 | $0.33 | |
| 91300 | <1% | 86 | $0.09 | |
| 1159F | 0% | 1,874 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 46 | $0.00 |
| 1160F | 0% | 1,874 | $0.00 | |
| 99000 | 0% | 42 | $0.00 | |
| 3008F | 0% | 109 | $0.00 | |
| 87492 | 0% | 29 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 29 | $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 officialFRANCISQUE- ST. VICTOR, ROSEMARIE (PROVIDER)