Ancona, Richard

Ancona, Richard was paid $638.55 by Medicaid between Oct 2021 and Oct 2021, across 1 billing code. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 100% of everything it billed.

33Billing provider infoANCONA, RICHARD
SMITHTOWN, NY 11787

33aNPI1275590697assigned 04/28/2006

33bProvider typePediatrics Physician

28Total paid$638.55

24GClaims15

24DCodes billed1

24AFirst – last monthOct 2021 – Oct 2021

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#1,683 of 1,983

Median peer was paid$17K

This provider vs. median0.0×

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
2021	15	$638.55

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	100%	15	15	$638.55

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.