Physician
Gomathi Pediatrics PLLC
Gomathi Pediatrics PLLC was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoGOMATHI PEDIATRICS PLLC
NEW CITY, NY 10956
NEW CITY, NY 10956
33aNPI1336573427assigned 08/26/2013
33bProvider typePediatrics Physician
28Total paid$1.11M
24GClaims38,564
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#267 of 1,983
Median peer was paid$17K
This provider vs. median65×
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 | 1,047 | $53K | |
| 2019 | 2,920 | $99K | |
| 2020 | 6,710 | $170K | |
| 2021 | 9,862 | $270K | |
| 2022 | 7,642 | $244K | |
| 2023 | 6,085 | $163K | |
| 2024incomplete | 4,298 | $109K |
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 | 44% | 7,564 | 5,658 | $490K |
| 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 | 27% | 3,115 | 2,577 | $299K |
| 99401 | 10% | 10,708 | 6,881 | $111K | |
| 92587 | 4.4% | 1,769 | 1,733 | $49K | |
| 99441 | 3.3% | 2,766 | 2,197 | $37K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 924 | 801 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 270 | 266 | $21K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 2,218 | 2,100 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 189 | 187 | $16K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 329 | 318 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 80 | 80 | $7K |
| 96127 | <1% | 1,266 | 1,258 | $5K |
14 more codes
| 81002 | <1% | 1,724 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 73 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,694 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 811 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 417 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 165 | $1K |
| 99173 | <1% | 1,486 | $1K | |
| 90686 | <1% | 662 | $1K | |
| 90461 | <1% | 195 | $1K | |
| 0072A | <1% | 32 | $1K | |
| 94010 | <1% | 29 | $729.60 | |
| 0071A | <1% | 15 | $533.50 | |
| 91307 | 0% | 51 | $0.00 | |
| 90685 | 0% | 12 | $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 officialADHIYAMAN, GOMATHI (OWNER)