Physician
Main Street Pediatrics PC
Main Street Pediatrics PC was paid $521K by Medicaid between Jan 2018 and May 2023, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoMAIN STREET PEDIATRICS PC
CAMBRIDGE, NY 12816
CAMBRIDGE, NY 12816
33aNPI1326058199assigned 08/08/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$521K
24GClaims12,600
24DCodes billed22
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#53 of 161
Median peer was paid$100K
This provider vs. median5.2×
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 | 1,975 | $81K | |
| 2019 | 2,641 | $98K | |
| 2020 | 2,634 | $92K | |
| 2021 | 2,805 | $122K | |
| 2022 | 1,996 | $98K | |
| 2023 | 549 | $29K |
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 | 42% | 3,013 | 2,753 | $217K |
| 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 | 34% | 1,611 | 1,491 | $176K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 329 | 326 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 318 | 292 | $28K |
| 96127 | 2.5% | 2,815 | 2,759 | $13K | |
| 87428 | 2.0% | 188 | 186 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 101 | 95 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 1,998 | 1,992 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 457 | 457 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 39 | 39 | $3K |
| 99443 | <1% | 30 | 30 | $3K | |
| 99442 | <1% | 36 | 35 | $2K |
10 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 61 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 14 | $1K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 92 | $950.00 |
| 99441 | <1% | 25 | $871.99 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 31 | $681.98 |
| 90686 | <1% | 884 | $400.24 | |
| 96160 | <1% | 435 | $220.97 | |
| 90685 | 0% | 73 | $0.00 | |
| 90734 | 0% | 13 | $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 officialCHAUDHARI, SEEMA (PRESIDENT)