Physician
Pena, Clotilde
Pena, Clotilde was paid $38K by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 49% of everything it billed.
33Billing provider infoPENA, CLOTILDE
NEW YORK, NY 10032
NEW YORK, NY 10032
33aNPI1427151794assigned 09/05/2006
33bProvider typePediatrics Physician
28Total paid$38K
24GClaims11,605
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#861 of 1,983
Median peer was paid$17K
This provider vs. median2.2×
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 | 370 | $1K | |
| 2019 | 13 | $0.00 | |
| 2020 | 4,469 | $0.00 | |
| 2021 | 2,215 | $6K | |
| 2022 | 297 | $4K | |
| 2023 | 1,265 | $11K | |
| 2024incomplete | 2,976 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 49% | 1,236 | 1,220 | $19K |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 24% | 282 | 282 | $9K |
| 83655 | 8.6% | 234 | 234 | $3K | |
| 92587 | 7.0% | 116 | 116 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.1% | 127 | 127 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 139 | 131 | $1K |
| 90461 | 1.2% | 435 | 432 | $452.72 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 14 | 14 | $293.02 |
| 90671 | <1% | 99 | 99 | $277.20 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 275 | 275 | $110.00 |
| 90686 | <1% | 85 | 85 | $38.00 | |
| 90656 | <1% | 63 | 63 | $0.01 |
37 more codes
| 1033F | 0% | 306 | $0.00 | |
| 99080 | 0% | 5,630 | $0.00 | |
| 99408 | 0% | 15 | $0.00 | |
| 90715 | 0% | 16 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 36 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 141 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 15 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 33 | $0.00 |
| 3725F | 0% | 14 | $0.00 | |
| 3016F | 0% | 15 | $0.00 | |
| 99173 | 0% | 35 | $0.00 | |
| 90633 | 0% | 30 | $0.00 | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 28 | $0.00 |
| 96160 | 0% | 16 | $0.00 | |
| S9449 | Weight management classes, non-physician provider, per session | 0% | 41 | $0.00 |
| 90710 | 0% | 12 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 111 | $0.00 |
| 90660 | 0% | 12 | $0.00 | |
| 97802 | 0% | 353 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 41 | $0.00 |
| 2001F | 0% | 195 | $0.00 | |
| 1000F | 0% | 320 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 15 | $0.00 |
| 90680 | 0% | 12 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 131 | $0.00 |
| 1031F | 0% | 307 | $0.00 | |
| 3008F | 0% | 195 | $0.00 | |
| 2010F | 0% | 137 | $0.00 | |
| 2000F | 0% | 167 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 14 | $0.00 |
| 96127 | 0% | 14 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 90698 | 0% | 26 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 12 | $0.00 |
| 1220F | 0% | 14 | $0.00 | |
| 90620 | 0% | 17 | $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.