Orchard Park Pediatrics, PC
Orchard Park Pediatrics, PC was paid $994K by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoORCHARD PARK PEDIATRICS, PC
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
33aNPI1386729481assigned 10/26/2006
33bProvider typeLegal Medicine
28Total paid$994K
24GClaims32,455
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Legal Medicine providers in New York
Rank by total paid#18 of 126
Median peer was paid$98K
This provider vs. median10×
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 | 1,891 | $58K | |
| 2019 | 2,876 | $81K | |
| 2020 | 5,586 | $107K | |
| 2021 | 8,088 | $237K | |
| 2022 | 6,035 | $227K | |
| 2023 | 4,657 | $164K | |
| 2024incomplete | 3,322 | $121K |
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 | 40% | 9,738 | 9,384 | $393K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 7,142 | 7,118 | $161K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,574 | 1,574 | $117K |
| 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 | 8.0% | 1,165 | 1,144 | $79K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 857 | 857 | $64K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 854 | 836 | $56K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.3% | 1,081 | 1,030 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 330 | 330 | $27K |
| 99441 | <1% | 646 | 595 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 509 | 474 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 125 | 125 | $5K |
| 0071A | <1% | 108 | 108 | $4K |
35 more codes
| 0072A | <1% | 99 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 372 | $3K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 456 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 169 | $3K |
| 96127 | <1% | 419 | $2K | |
| 0001A | <1% | 39 | $1K | |
| 0002A | <1% | 39 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 230 | $1K |
| 90480 | <1% | 16 | $500.00 | |
| 87070 | <1% | 60 | $482.36 | |
| 0003A | <1% | 12 | $463.92 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12 | $463.44 |
| 90686 | <1% | 1,612 | $332.12 | |
| 90688 | <1% | 304 | $282.83 | |
| 99442 | <1% | 12 | $176.78 | |
| 83655 | <1% | 12 | $155.10 | |
| 99177 | <1% | 123 | $96.79 | |
| 90656 | <1% | 33 | $66.93 | |
| 85018 | <1% | 12 | $18.78 | |
| 94760 | <1% | 25 | $3.92 | |
| 99072 | <1% | 1,434 | $2.83 | |
| 91300 | <1% | 123 | $0.21 | |
| 91307 | <1% | 250 | $0.07 | |
| 90670 | 0% | 246 | $0.00 | |
| 90461 | 0% | 186 | $0.00 | |
| 99080 | 0% | 339 | $0.00 | |
| 99499 | 0% | 301 | $0.00 | |
| 90685 | 0% | 26 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 90671 | 0% | 13 | $0.00 | |
| 90698 | 0% | 275 | $0.00 | |
| 99000 | 0% | 874 | $0.00 | |
| 99070 | 0% | 111 | $0.00 | |
| 90680 | 0% | 65 | $0.00 | |
| 90744 | 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 officialGURA, CHRISTINE (OFFICE MANAGER)