Medicaid Provider Spending

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

SOUTH QUEENS PEDIATRIC ASSOC, LLP

NPI: 1437241775 · SOUTH OZONE PARK, NY 11420 · Pediatrics Physician · NPI assigned 09/28/2006

$5K
Total Medicaid Paid
1,087
Total Claims
1,041
Beneficiaries
9
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialABRAHAM, JAMIL (MEDICAL DIRECTOR)
NPI Enumeration Date09/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 70 $1K
2019 207 $707.64
2020 379 $1K
2021 352 $1K
2022 79 $443.01

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 130 126 $2K
99401 431 397 $1K
92587 25 25 $409.64
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48 43 $317.18
99173 156 155 $150.00
92558 104 104 $87.03
36415 Collection of venous blood by venipuncture 116 115 $28.60
81002 38 38 $2.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 39 38 $0.00