Physician
Suffolk Pediatric, PC
Suffolk Pediatric, PC was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoSUFFOLK PEDIATRIC, PC
CENTRAL ISLIP, NY 11722
CENTRAL ISLIP, NY 11722
33aNPI1427355775assigned 02/23/2011
33bProvider typeFamily Medicine Physician
28Total paid$1.50M
24GClaims135,063
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#91 of 2,605
Median peer was paid$10K
This provider vs. median149×
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 | 20,167 | $389K | |
| 2019 | 23,285 | $356K | |
| 2020 | 28,399 | $277K | |
| 2021 | 26,562 | $274K | |
| 2022 | 13,209 | $101K | |
| 2023 | 13,380 | $66K | |
| 2024incomplete | 10,061 | $39K |
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 | 30% | 16,631 | 15,970 | $453K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 12,055 | 11,909 | $255K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 5,122 | 5,113 | $124K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 4,108 | 4,104 | $95K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.0% | 3,067 | 3,036 | $90K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.5% | 5,950 | 5,515 | $82K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 3,355 | 3,352 | $77K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 3,885 | 3,685 | $75K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3.6% | 6,649 | 6,641 | $54K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.9% | 4,408 | 4,403 | $29K |
| 99173 | 1.9% | 2,874 | 2,867 | $29K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.7% | 4,418 | 4,411 | $25K |
56 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 13,352 | $14K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,047 | $13K |
| 81002 | <1% | 13,028 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 932 | $9K |
| 90461 | <1% | 481 | $8K | |
| 0071A | <1% | 243 | $7K | |
| 96127 | <1% | 4,427 | $6K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 201 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,145 | $5K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 350 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 707 | $4K |
| H0001 | Alcohol and/or drug assessment | <1% | 3,691 | $3K |
| 90670 | <1% | 2,439 | $2K | |
| 99441 | <1% | 134 | $2K | |
| 99381 | <1% | 119 | $2K | |
| 87081 | <1% | 510 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 246 | $2K |
| 86580 | <1% | 214 | $1K | |
| 90651 | <1% | 939 | $1K | |
| 85018 | <1% | 794 | $1K | |
| 90671 | <1% | 420 | $829.28 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 41 | $773.13 |
| 90619 | <1% | 68 | $729.16 | |
| A4930 | Gloves, sterile, per pair | <1% | 2,563 | $681.60 |
| 90621 | <1% | 541 | $542.49 | |
| 99442 | <1% | 17 | $535.39 | |
| 90686 | <1% | 1,665 | $491.54 | |
| 90723 | <1% | 1,089 | $350.00 | |
| 90715 | <1% | 161 | $272.76 | |
| 90647 | <1% | 1,194 | $231.16 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $215.00 |
| 90633 | <1% | 988 | $194.36 | |
| 90620 | <1% | 119 | $163.84 | |
| 90674 | <1% | 234 | $139.90 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 280 | $139.73 |
| 90661 | <1% | 259 | $123.22 | |
| 90658 | <1% | 347 | $111.92 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | <1% | 45 | $77.13 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 322 | $56.78 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 266 | $34.81 |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 54 | $8.93 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 3,318 | $5.25 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 16 | $0.52 |
| 91307 | <1% | 229 | $0.12 | |
| 90685 | 0% | 151 | $0.00 | |
| 90710 | 0% | 83 | $0.00 | |
| 90734 | 0% | 511 | $0.00 | |
| 90655 | 0% | 145 | $0.00 | |
| 90707 | 0% | 27 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90680 | 0% | 1,403 | $0.00 | |
| 90697 | 0% | 156 | $0.00 | |
| 36416 | 0% | 589 | $0.00 | |
| 90716 | 0% | 117 | $0.00 | |
| 90696 | 0% | 69 | $0.00 | |
| 90657 | 0% | 16 | $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 officialSANCHEZ, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Suffolk Medical PC | Central Islip, NY | $198K |
| Alpine Medical Center PLLC | Alpine, TX | $5K |
| Galbraith Sanchez Podiatry Group | Wichita, KS | $344.21 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.