PEDIATRIC DEVELOPMENT CLINIC
NPI: 1346286895
· ROCHESTER, NY 14642
· 2080P0008X
$2.26M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,611 |
$188K |
| 2019 |
2,206 |
$272K |
| 2020 |
2,345 |
$285K |
| 2021 |
3,430 |
$434K |
| 2022 |
4,164 |
$513K |
| 2023 |
3,280 |
$411K |
| 2024 |
1,175 |
$160K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
13,106 |
12,922 |
$1.71M |
| 99205 |
Prolong outpt/office vis |
1,500 |
1,500 |
$278K |
| 96112 |
|
851 |
851 |
$99K |
| 96113 |
|
640 |
640 |
$62K |
| 90847 |
|
502 |
347 |
$44K |
| 99417 |
Prolong home eval add 15m |
1,104 |
1,037 |
$43K |
| 99214 |
|
177 |
177 |
$15K |
| 90791 |
|
40 |
40 |
$5K |
| 99354 |
|
38 |
38 |
$4K |
| 96110 |
|
210 |
210 |
$2K |
| 90846 |
|
14 |
13 |
$1K |
| 96127 |
|
29 |
29 |
$118.68 |