Clinic
Pediatrics for Queens & Kings
Pediatrics for Queens & Kings was paid $444K by Medicaid between Jan 2018 and Oct 2023, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoPEDIATRICS FOR QUEENS & KINGS
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1396955878assigned 05/23/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$444K
24GClaims22,547
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#78 of 242
Median peer was paid$172K
This provider vs. median2.6×
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 | 3,215 | $83K | |
| 2019 | 4,835 | $104K | |
| 2020 | 3,072 | $66K | |
| 2021 | 3,823 | $68K | |
| 2022 | 5,510 | $94K | |
| 2023 | 2,092 | $31K |
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 | 53% | 6,460 | 5,950 | $234K |
| 99058 | 47% | 6,610 | 6,087 | $210K | |
| 92587 | <1% | 30 | 30 | $278.56 | |
| 97802 | <1% | 14 | 14 | $260.19 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 40 | 40 | $70.00 |
| 3008F | <1% | 8,649 | 8,051 | $24.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 83 | 83 | $20.40 |
| 87430 | <1% | 239 | 237 | $6.72 | |
| 81000 | <1% | 382 | 373 | $1.61 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 12 | 12 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 16 | 15 | $0.00 |
| 90656 | 0% | 12 | 12 | $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 officialVILLEGAS, EMILIO (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Sherman Pediatrics Care PLLC | Sunnyside, NY | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.