Physician
Pena, Cervantes
Pena, Cervantes was paid $39K by Medicaid between Jan 2018 and Jan 2023, across 42 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 31% of everything it billed.
33Billing provider infoPENA, CERVANTES
CORONA, NY 11368
CORONA, NY 11368
33aNPI1376538553assigned 09/14/2005
33bProvider typePediatrics Physician
28Total paid$39K
24GClaims24,729
24DCodes billed42
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#850 of 1,983
Median peer was paid$17K
This provider vs. median2.3×
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 | 4,412 | $9K | |
| 2019 | 9,738 | $12K | |
| 2020 | 9,669 | $17K | |
| 2021 | 878 | $1K | |
| 2023 | 32 | $282.10 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 31% | 1,654 | 1,634 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,369 | 1,993 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 812 | 804 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.8% | 491 | 480 | $4K |
| 86580 | 9.5% | 492 | 489 | $4K | |
| 99401 | 9.3% | 2,275 | 2,231 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 510 | 484 | $2K |
| 92587 | 3.1% | 1,226 | 1,222 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.3% | 235 | 234 | $510.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 193 | 181 | $464.68 |
| 99173 | <1% | 782 | 781 | $197.35 | |
| H0001 | Alcohol and/or drug assessment | <1% | 258 | 258 | $170.00 |
30 more codes
| 90461 | <1% | 107 | $150.90 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 274 | $81.95 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 32 | $75.00 |
| 90658 | <1% | 94 | $45.00 | |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | <1% | 34 | $20.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,129 | $16.46 |
| 90688 | <1% | 586 | $16.29 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 164 | $10.50 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 222 | $2.50 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 88 | $2.50 |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 373 | $1.18 |
| A4930 | Gloves, sterile, per pair | <1% | 1,413 | $0.40 |
| 3008F | 0% | 1,384 | $0.00 | |
| 2000F | 0% | 846 | $0.00 | |
| 2001F | 0% | 886 | $0.00 | |
| 2010F | 0% | 1,054 | $0.00 | |
| 1000F | 0% | 337 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 201 | $0.00 |
| 99000 | 0% | 232 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 1036F | 0% | 337 | $0.00 | |
| 90686 | 0% | 49 | $0.00 | |
| 3725F | 0% | 343 | $0.00 | |
| 1160F | 0% | 32 | $0.00 | |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 222 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,593 | $0.00 |
| 3016F | 0% | 223 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 112 | $0.00 |
| 90670 | 0% | 24 | $0.00 | |
| 90633 | 0% | 29 | $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.