Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gold Coast Pediatrics PC

Gold Coast Pediatrics PC was paid $38K by Medicaid between Oct 2023 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoGOLD COAST PEDIATRICS PC
GLEN HEAD, NY 11545
33aNPI1396494621assigned 03/23/2022
33bProvider typePediatrics Physician
28Total paid$38K
24GClaims590
24DCodes billed10
24AFirst – last monthOct 2023 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#860 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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
202341$2K
2024incomplete549$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45% 249 214 $17K
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 41% 147 127 $16K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5.7% 16 16 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4.9% 18 16 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 2.4% 80 78 $921.53
96127 <1% 14 14 $150.40
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 12 12 $113.19
92551 <1% 14 14 $110.35
81000 <1% 25 24 $83.48
99173 0% 15 15 $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 officialSEKHON, AMAN (OWNER)