Physician
Hudson Valley Pediatrics
Hudson Valley Pediatrics was paid $39K by Medicaid between Jul 2022 and Nov 2023, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoHUDSON VALLEY PEDIATRICS
PHILMONT, NY 12565
PHILMONT, NY 12565
33aNPI1265026744assigned 02/24/2021
33bProvider typePediatrics Physician
28Total paid$39K
24GClaims836
24DCodes billed13
24AFirst – last monthJul 2022 – Nov 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#858 of 1,983
Median peer was paid$17K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2022 | 453 | $21K | |
| 2023 | 383 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 114 | 101 | $11K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 23% | 67 | 67 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 128 | 115 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 221 | 213 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 13 | 13 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 13 | 13 | $1K |
| 92552 | 1.9% | 36 | 36 | $745.04 | |
| 90480 | <1% | 16 | 16 | $340.02 | |
| 92551 | <1% | 16 | 16 | $135.58 | |
| 81002 | <1% | 12 | 12 | $27.42 | |
| 85018 | <1% | 14 | 13 | $25.04 | |
| 90686 | 0% | 137 | 135 | $0.00 |
1 more codes
| 99172 | 0% | 49 | $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 officialSETTY, SHAILAJA (OWNER)