Physician
Patchogue Pediatrics PC
Patchogue Pediatrics PC was paid $832K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoPATCHOGUE PEDIATRICS PC
EAST PATCHOGUE, NY 11772
EAST PATCHOGUE, NY 11772
33aNPI1396178000assigned 08/16/2013
33bProvider typePediatrics Physician
28Total paid$832K
24GClaims20,020
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#317 of 1,983
Median peer was paid$17K
This provider vs. median49×
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 | 1,465 | $70K | |
| 2019 | 2,133 | $84K | |
| 2020 | 3,055 | $106K | |
| 2021 | 2,956 | $118K | |
| 2022 | 3,927 | $165K | |
| 2023 | 3,434 | $160K | |
| 2024incomplete | 3,050 | $129K |
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 | 51% | 7,216 | 6,278 | $422K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 2,409 | 2,397 | $94K |
| 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 | 8.5% | 891 | 857 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 666 | 666 | $48K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 662 | 661 | $45K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 567 | 541 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 513 | 513 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 567 | 543 | $20K |
| 90461 | 2.1% | 315 | 315 | $17K | |
| 98960 | 1.3% | 1,908 | 1,908 | $11K | |
| 90671 | 1.3% | 47 | 47 | $11K | |
| 97802 | <1% | 1,404 | 1,404 | $7K |
13 more codes
| 99173 | <1% | 1,067 | $3K | |
| 81002 | <1% | 1,301 | $2K | |
| 0072A | <1% | 35 | $1K | |
| 0071A | <1% | 34 | $1K | |
| 91307 | <1% | 43 | $356.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 33 | $276.00 |
| 90686 | <1% | 115 | $60.64 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 39 | $30.58 |
| 90670 | 0% | 108 | $0.00 | |
| 90734 | 0% | 37 | $0.00 | |
| 99000 | 0% | 14 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 87081 | 0% | 16 | $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 officialCHONG-GAYLE, AUDREY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Islip Pediatrics PC | Islip, NY | $948K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.