Milestones Pediatrics of New York

Milestones Pediatrics of New York was paid $11.55M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoMILESTONES PEDIATRICS OF NEW YORK
BROOKLYN, NY 11214

33aNPI1386911691assigned 11/30/2011

33bProvider typePrimary Care Clinic/Center

28Total paid$11.55M

24GClaims405,403

24DCodes billed98

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in New York

Rank by total paid#6 of 242

Median peer was paid$172K

This provider vs. median67×

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	42,030	$1.22M
2019	59,529	$1.67M
2020	48,248	$1.27M
2021	56,389	$1.68M
2022	71,583	$2.07M
2023	68,781	$1.99M
2024incomplete	58,843	$1.65M

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	34%	42,448	35,282	$3.93M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12%	24,997	23,390	$1.35M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.2%	8,610	8,609	$945K
90460	Immunization administration through 18 years of age via any route, first or only component	6.2%	23,502	23,119	$712K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.1%	6,518	6,517	$710K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.2%	4,995	4,991	$598K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	4.5%	37,684	18,606	$515K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	4.1%	16,924	15,515	$478K
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	3.5%	3,144	3,082	$408K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.0%	26,848	24,371	$350K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.6%	2,965	2,959	$304K
92587		2.4%	14,871	14,844	$276K

86 more codes

90461		2.0%	5,090	$233K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	5,047	$88K
99401		<1%	4,119	$70K
H0049	Alcohol and/or drug screening	<1%	4,968	$55K
99051		<1%	13,946	$50K
97802		<1%	16,007	$43K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	1,714	$40K
0071A		<1%	660	$31K
0072A		<1%	689	$29K
0002A		<1%	634	$26K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	4,949	$25K
0001A		<1%	653	$23K
90480		<1%	561	$18K
99381		<1%	156	$17K
0073A		<1%	353	$15K
92551		<1%	1,356	$14K
0154A		<1%	310	$12K
36415	Collection of venous blood by venipuncture	<1%	19,102	$12K
96127		<1%	4,118	$11K
0003A		<1%	244	$10K
91320		<1%	152	$10K
0124A		<1%	235	$9K
99441		<1%	218	$9K
90686		<1%	13,119	$8K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	319	$8K
90619		<1%	663	$8K
91319		<1%	173	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	88	$7K
99173		<1%	14,189	$6K
91318		<1%	68	$6K
0082A		<1%	132	$5K
0054A		<1%	130	$5K
0081A		<1%	127	$5K
92552		<1%	173	$5K
99408		<1%	5,080	$4K
90677		<1%	149	$4K
99442		<1%	49	$4K
0074A		<1%	96	$4K
0083A		<1%	79	$3K
0053A		<1%	77	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	25	$3K
90473		<1%	210	$3K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	164	$2K
0004A		<1%	39	$2K
87428		<1%	26	$1K
90670		<1%	2,036	$789.05
88738		<1%	414	$762.17
90620		<1%	528	$642.57
36410		<1%	350	$523.30
99174		<1%	1,896	$440.44
90744		<1%	1,672	$374.21
87807		<1%	95	$356.13
90633		<1%	823	$239.57
90680		<1%	1,110	$142.80
90710		<1%	289	$142.80
90707		<1%	481	$120.01
99000		<1%	38,421	$91.58
90656		<1%	1,726	$91.11
90688		<1%	173	$64.20
90672		<1%	546	$26.90
90685		<1%	184	$21.81
90734		<1%	368	$15.00
G9275	Documentation that patient is a current non-tobacco user	<1%	2,540	$14.41
3351F		<1%	806	$8.00
91307		<1%	1,939	$5.05
1220F		<1%	1,938	$4.00
91308		<1%	385	$2.04
91300		<1%	1,612	$2.00
91315		<1%	303	$1.54
91312		<1%	205	$1.09
91305		<1%	207	$1.00
91311		<1%	62	$0.27
90723		0%	407	$0.00
4293F		0%	1,766	$0.00
1000F		0%	1,776	$0.00
90651		0%	1,296	$0.00
90647		0%	898	$0.00
90696		0%	267	$0.00
1036F		0%	1,148	$0.00
90698		0%	123	$0.00
90716		0%	119	$0.00
90660		0%	66	$0.00
90715		0%	395	$0.00
3725F		0%	1,319	$0.00
90700		0%	44	$0.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	0%	708	$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 officialNGAI, NANCY (PHYSICIAN)