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

Washington Heights Pediatics

Washington Heights Pediatics was paid $729K by Medicaid between Jan 2018 and Nov 2024, across 75 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 43% of everything it billed.

33Billing provider infoWASHINGTON HEIGHTS PEDIATICS
NEW YORK, NY 10033
33aNPI1407015142assigned 06/06/2008
33bProvider typePediatrics Physician
28Total paid$729K
24GClaims235,934
24DCodes billed75
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#342 of 1,983
Median peer was paid$17K
This provider vs. median43×

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$20K$40K2018201920202021202220232024
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
201817,591$114K
201937,776$219K
202040,209$102K
202136,981$63K
202235,312$63K
202336,967$109K
2024incomplete31,098$58K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 43% 13,904 13,826 $312K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 16,462 14,828 $107K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.0% 5,189 5,185 $44K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.1% 5,104 5,101 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.6% 9,157 8,894 $34K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.7% 3,702 3,694 $27K
92551 3.2% 14,834 14,823 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.3% 1,459 1,440 $17K
90461 2.0% 4,023 4,011 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.7% 1,911 1,909 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.7% 2,649 2,639 $12K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.7% 1,829 1,815 $12K
63 more codes
90670 1.0% 1,535 $8K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 6,581 $6K
90686 <1% 4,994 $6K
36415 Collection of venous blood by venipuncture <1% 21,086 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 460 $5K
90734 <1% 1,190 $5K
99173 <1% 12,423 $4K
90620 <1% 1,571 $3K
0072A <1% 97 $3K
90473 <1% 234 $3K
0071A <1% 93 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,831 $2K
99384 <1% 87 $2K
97802 <1% 6,816 $2K
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 7,189 $2K
99383 <1% 90 $2K
90633 <1% 1,447 $2K
99401 <1% 1,416 $2K
G9820 Documentation of a chlamydia screening test with proper follow-up <1% 5,420 $1K
99214 Doctor's office visit, returning patient (more involved) <1% 47 $1K
H0001 Alcohol and/or drug assessment <1% 6,790 $1K
99203 Doctor's office visit, new patient (routine) <1% 101 $1K
86769 <1% 173 $880.00
3074F <1% 857 $875.50
3078F <1% 723 $738.00
90715 <1% 593 $617.96
90474 <1% 44 $516.31
90672 <1% 488 $327.66
90674 <1% 167 $250.00
90716 <1% 167 $240.00
90744 <1% 144 $236.02
90647 <1% 681 $225.00
90661 <1% 90 $223.04
87081 <1% 822 $192.44
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 7,417 $162.50
99382 <1% 28 $153.72
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,080 $131.08
83655 <1% 1,479 $122.70
90707 <1% 67 $120.00
90685 <1% 25 $64.21
99381 <1% 12 $56.22
90723 <1% 28 $50.00
90700 <1% 58 $25.00
90656 <1% 67 $23.53
86804 <1% 17 $12.39
81002 <1% 47 $8.34
94760 <1% 269 $5.51
91307 <1% 168 $0.68
3008F <1% 16,988 $0.13
90619 0% 553 $0.00
1036F 0% 8,032 $0.00
90698 0% 281 $0.00
90680 0% 915 $0.00
90696 0% 202 $0.00
90651 0% 2,194 $0.00
1000F 0% 7,174 $0.00
90677 0% 25 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 41 $0.00
G9275 Documentation that patient is a current non-tobacco user 0% 123 $0.00
3725F 0% 5,979 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 7,241 $0.00
3016F 0% 5,465 $0.00
90710 0% 289 $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 officialBARBERY, MARIA-PILAR (DIRECTOR)