Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Boston Pediatrics, PLLC

Boston Pediatrics, PLLC was paid $2.76M by Medicaid between Jan 2018 and Dec 2024, across 111 billing codes. Its largest line is 92587, — 17% of everything it billed.

33Billing provider infoBOSTON PEDIATRICS, PLLC
BRONX, NY 10456
33aNPI1275724767assigned 08/08/2007
33bProvider typePediatrics Physician
28Total paid$2.76M
24GClaims672,908
24DCodes billed111
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#123 of 1,983
Median peer was paid$17K
This provider vs. median163×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201878,920$848K
201994,974$607K
202093,688$260K
2021112,610$382K
202283,879$207K
2023111,924$243K
2024incomplete96,913$213K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92587 17% 33,999 33,948 $470K
90460 Immunization administration through 18 years of age via any route, first or only component 13% 22,492 22,228 $353K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 9.6% 32,969 32,942 $266K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.9% 27,483 25,493 $246K
90472 Immunization administration, each additional vaccine (list separately) 5.1% 6,227 6,209 $141K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4.7% 10,246 10,164 $129K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.9% 32,662 29,870 $108K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.3% 11,281 11,268 $91K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.2% 10,684 10,675 $88K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 2.8% 46,216 44,943 $77K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.5% 9,976 9,627 $70K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2.4% 24,362 24,334 $65K
99 more codes
0001A 2.0% 1,399 $54K
99177 1.8% 29,624 $50K
0002A 1.8% 1,313 $49K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.8% 5,686 $49K
90620 1.5% 3,741 $40K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.3% 5,068 $35K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.3% 12,448 $35K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 7,198 $27K
97802 <1% 20,142 $24K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 13,441 $20K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 14,373 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,124 $18K
0071A <1% 535 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,562 $17K
S9451 Exercise classes, non-physician provider, per session <1% 28,943 $17K
83015 <1% 11,246 $16K
0072A <1% 399 $15K
86580 <1% 1,968 $13K
H0001 Alcohol and/or drug assessment <1% 16,353 $12K
36415 Collection of venous blood by venipuncture <1% 37,963 $11K
87631 <1% 1,476 $11K
90686 <1% 15,497 $10K
0011A <1% 229 $9K
0003A <1% 237 $9K
0012A <1% 208 $8K
99173 <1% 1,365 $6K
36406 <1% 2,270 $5K
86480 <1% 1,244 $5K
90651 <1% 3,818 $5K
90670 <1% 2,343 $5K
91307 <1% 1,070 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 575 $4K
85018 <1% 2,218 $4K
90734 <1% 3,139 $3K
0013A <1% 77 $3K
90716 <1% 978 $3K
0124A <1% 59 $2K
94070 <1% 113 $2K
90707 <1% 824 $2K
3074F <1% 7,786 $2K
36410 <1% 1,671 $1K
90633 <1% 2,894 $1K
D1206 Topical application of fluoride varnish <1% 96 $1K
99383 <1% 114 $1K
0154A <1% 29 $1K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 16,093 $1K
90672 <1% 433 $921.18
90744 <1% 2,057 $853.13
90715 <1% 1,367 $838.38
99381 <1% 125 $803.72
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 100 $798.78
90723 <1% 1,426 $755.00
90685 <1% 572 $537.93
99214 Doctor's office visit, returning patient (more involved) <1% 131 $507.19
3079F <1% 1,821 $460.00
91308 <1% 13 $450.02
90634 <1% 358 $442.49
99382 <1% 13 $283.59
87081 <1% 1,377 $272.89
90671 <1% 909 $246.20
36416 <1% 563 $210.00
90700 <1% 521 $115.00
90661 <1% 887 $114.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 27 $105.35
91300 <1% 2,716 $104.00
99384 <1% 39 $99.65
90680 <1% 1,785 $75.00
A7016 Dome and mouthpiece, used with small volume ultrasonic nebulizer <1% 109 $58.26
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 110 $54.39
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 142 $30.00
94760 <1% 100 $16.86
90648 <1% 2,152 $11.00
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg <1% 97 $4.75
G9275 Documentation that patient is a current non-tobacco user <1% 14,032 $0.70
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 15,864 $0.52
91301 <1% 405 $0.48
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 0% 4,633 $0.00
1036F 0% 11,552 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 13,432 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 1,526 $0.00
90696 0% 718 $0.00
3008F 0% 1,458 $0.00
1000F 0% 213 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 0% 167 $0.00
G9228 Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) 0% 654 $0.00
90697 0% 131 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 12 $0.00
90619 0% 13 $0.00
90698 0% 13 $0.00
3725F 0% 11,582 $0.00
3016F 0% 11,540 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 10,476 $0.00
90710 0% 825 $0.00
1160F 0% 2,099 $0.00
3210F 0% 548 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 0% 351 $0.00
99499 0% 63 $0.00
90713 0% 13 $0.00
90681 0% 92 $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 officialCORNIELLE, JORGE (MEDICAL DOCTOR)
Same official

Other billing entities under CORNIELLE, JORGE

Full network →
ProviderLocationPaid
BRMC Medical PLLCBronx, NY$6.16M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.