Physician
Richmond Hill Pediatric Associates
Richmond Hill Pediatric Associates was paid $61K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoRICHMOND HILL PEDIATRIC ASSOCIATES
RICHMOND HILL, NY 11418
RICHMOND HILL, NY 11418
33aNPI1366735862assigned 05/17/2011
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$61K
24GClaims11,898
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#87 of 161
Median peer was paid$100K
This provider vs. median0.6×
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 | 819 | $16K | |
| 2019 | 1,615 | $16K | |
| 2020 | 1,985 | $3K | |
| 2021 | 2,152 | $5K | |
| 2022 | 459 | $3K | |
| 2023 | 2,730 | $10K | |
| 2024incomplete | 2,138 | $8K |
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 | 55% | 1,925 | 1,815 | $33K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 22% | 1,372 | 1,357 | $14K |
| 92551 | 12% | 1,179 | 1,170 | $7K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2.7% | 180 | 178 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 12 | 12 | $916.84 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 422 | 405 | $770.28 |
| 99401 | 1.2% | 925 | 916 | $726.40 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 72 | 72 | $650.91 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 106 | 106 | $547.12 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,522 | 1,491 | $461.25 |
| 99173 | <1% | 1,201 | 1,193 | $358.50 | |
| 86580 | <1% | 436 | 431 | $312.15 |
9 more codes
| 97802 | <1% | 934 | $195.47 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 12 | $99.31 |
| 90686 | <1% | 704 | $23.53 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | $15.76 |
| H0001 | Alcohol and/or drug assessment | 0% | 286 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 204 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 305 | $0.00 |
| 90672 | 0% | 60 | $0.00 | |
| 90461 | 0% | 15 | $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 officialWALLACH, NANCY (PRESIDENT / PHYSICIAN)