Physician
Village Pediatrics & Rheumotology LLC
Village Pediatrics & Rheumotology LLC was paid $253K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoVILLAGE PEDIATRICS & RHEUMOTOLOGY LLC
HAMBURG, NY 14075
HAMBURG, NY 14075
33aNPI1366520363assigned 11/01/2006
33bProvider typePediatrics Physician
28Total paid$253K
24GClaims14,492
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#542 of 1,983
Median peer was paid$17K
This provider vs. median15×
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 | 1,103 | $26K | |
| 2019 | 2,444 | $49K | |
| 2020 | 1,945 | $30K | |
| 2021 | 2,083 | $36K | |
| 2022 | 2,766 | $43K | |
| 2023 | 2,547 | $41K | |
| 2024incomplete | 1,604 | $27K |
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 | 56% | 4,406 | 3,961 | $143K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 1,646 | 1,636 | $32K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 9.8% | 635 | 617 | $25K |
| 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 | 6.4% | 301 | 263 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.5% | 584 | 398 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.8% | 2,591 | 2,407 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 104 | 104 | $6K |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 19 | 19 | $2K |
| 87807 | <1% | 134 | 128 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 39 | 39 | $2K |
| 92551 | <1% | 301 | 300 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | 15 | $961.60 |
10 more codes
| 0072A | <1% | 19 | $716.44 | |
| 81002 | <1% | 558 | $639.39 | |
| 0071A | <1% | 14 | $516.44 | |
| 94760 | <1% | 2,343 | $335.57 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 18 | $172.80 |
| 90686 | <1% | 345 | $137.61 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 15 | $1.80 |
| 99080 | 0% | 280 | $0.00 | |
| 99499 | 0% | 84 | $0.00 | |
| 91307 | 0% | 41 | $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 officialCALKINS, JOAN (OWNER)