Physician
Riverview Pediatrics
Riverview Pediatrics was paid $1.10M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoRIVERVIEW PEDIATRICS
TROY, NY 12182
TROY, NY 12182
33aNPI1376673319assigned 03/07/2007
33bProvider typePediatrics Physician
28Total paid$1.10M
24GClaims29,148
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#271 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 | 1,952 | $42K | |
| 2019 | 3,470 | $123K | |
| 2020 | 5,133 | $174K | |
| 2021 | 5,371 | $183K | |
| 2022 | 5,867 | $234K | |
| 2023 | 4,168 | $197K | |
| 2024incomplete | 3,187 | $149K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 56% | 8,649 | 8,076 | $617K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 4,455 | 4,440 | $149K |
| 90461 | 6.1% | 1,577 | 1,573 | $68K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 871 | 870 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 696 | 696 | $47K |
| 87428 | 3.5% | 1,114 | 1,089 | $39K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 516 | 516 | $38K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 528 | 506 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 388 | 368 | $20K |
| 81001 | <1% | 2,927 | 2,912 | $7K | |
| 87430 | <1% | 592 | 580 | $6K | |
| 92552 | <1% | 249 | 248 | $4K |
30 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 250 | $3K |
| 96127 | <1% | 592 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 342 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 30 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 190 | $1K |
| 0071A | <1% | 18 | $855.88 | |
| 99441 | <1% | 65 | $817.41 | |
| 99429 | <1% | 34 | $801.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 164 | $625.00 |
| 0072A | <1% | 12 | $555.88 | |
| 94010 | <1% | 13 | $314.29 | |
| 96160 | <1% | 524 | $226.93 | |
| 85018 | <1% | 111 | $189.54 | |
| 83655 | <1% | 12 | $105.38 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $71.72 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 857 | $36.00 |
| 90686 | <1% | 1,274 | $22.35 | |
| 36416 | <1% | 13 | $18.18 | |
| 99173 | <1% | 139 | $1.80 | |
| 1036F | 0% | 151 | $0.00 | |
| 91307 | 0% | 37 | $0.00 | |
| 90619 | 0% | 16 | $0.00 | |
| 90696 | 0% | 15 | $0.00 | |
| 99072 | 0% | 1,436 | $0.00 | |
| 90715 | 0% | 25 | $0.00 | |
| 90670 | 0% | 153 | $0.00 | |
| 90649 | 0% | 30 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 90734 | 0% | 42 | $0.00 | |
| 90658 | 0% | 13 | $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 officialTOMIAK, HENRY (PARTNER)