Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH ISLAND PEDIATRICS, N.Y.C., P.C.

NPI: 1427113075 · CEDARHURST, NY 11516 · Clinic/Center · NPI assigned 12/26/2006

$7K
Total Medicaid Paid
324
Total Claims
279
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialWEILER, MITCHELL (PRESIDENT)
NPI Enumeration Date12/26/2006

Related Entities

Other providers sharing the same authorized official: WEILER, MITCHELL

ProviderCityStateTotal Paid
ARM OF PEDIATRICS LLP CEDARHUST NY $1.05M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 324 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 114 83 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 26 25 $235.00
96127 26 26 $195.52
87184 37 34 $194.99
87081 37 34 $153.92
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 36 34 $108.00
99051 15 12 $78.75
A4206 Syringe with needle, sterile, 1 cc or less, each 33 31 $15.60