Physician
Orange Pediatric Care PC
Orange Pediatric Care PC was paid $820K by Medicaid between Jan 2018 and Oct 2023, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoORANGE PEDIATRIC CARE PC
NEW WINDSOR, NY 12553
NEW WINDSOR, NY 12553
33aNPI1396808630assigned 12/18/2006
33bProvider typePediatrics Physician
28Total paid$820K
24GClaims24,633
24DCodes billed24
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#319 of 1,983
Median peer was paid$17K
This provider vs. median48×
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 | 3,733 | $112K | |
| 2019 | 4,512 | $138K | |
| 2020 | 4,101 | $141K | |
| 2021 | 4,413 | $156K | |
| 2022 | 4,860 | $169K | |
| 2023 | 3,014 | $106K |
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 | 46% | 5,537 | 4,919 | $374K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 5,352 | 4,672 | $265K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.7% | 4,108 | 2,912 | $63K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 514 | 510 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 323 | 323 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 2,329 | 2,212 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 623 | 312 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 205 | 200 | $8K |
| 99051 | <1% | 597 | 579 | $5K | |
| 85018 | <1% | 1,565 | 1,562 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 49 | 49 | $4K |
| 81002 | <1% | 965 | 955 | $2K |
12 more codes
| 99406 | <1% | 243 | $1K | |
| 86403 | <1% | 357 | $1K | |
| 88738 | <1% | 444 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $980.44 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 282 | $913.65 |
| 4124F | <1% | 56 | $838.46 | |
| 99050 | <1% | 106 | $837.59 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 282 | $643.16 |
| 96127 | <1% | 285 | $113.05 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $94.56 |
| 90686 | <1% | 339 | $58.65 | |
| 90672 | <1% | 47 | $55.17 |
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 officialBERNARDEZ, MARIA (PRESIDENT)