Physician
Pediatric Neonatal
Pediatric Neonatal was paid $2.41M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 42% of everything it billed.
33Billing provider infoPEDIATRIC NEONATAL
ROCHESTER, NY 14642
ROCHESTER, NY 14642
33aNPI1457364358assigned 08/14/2006
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$2.41M
24GClaims16,566
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in New York
Rank by total paid#2 of 41
Median peer was paid$9K
This provider vs. median271×
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 | 924 | $87K | |
| 2019 | 2,663 | $395K | |
| 2020 | 3,030 | $375K | |
| 2021 | 3,258 | $537K | |
| 2022 | 3,383 | $532K | |
| 2023 | 1,945 | $325K | |
| 2024incomplete | 1,363 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 42% | 2,780 | 508 | $1.01M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 26% | 5,460 | 1,443 | $637K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 16% | 3,516 | 1,011 | $390K |
| 99460 | 5.5% | 1,717 | 1,717 | $134K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.3% | 2,096 | 2,086 | $128K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 2.9% | 199 | 38 | $69K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 269 | 269 | $19K |
| 99462 | <1% | 269 | 244 | $9K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 97 | 97 | $8K |
| 99221 | <1% | 90 | 90 | $5K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 59 | 52 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 14 | 12 | $475.50 |
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 officialHAIBACH, MARTIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Allergy of Pulmonary | Rochester, NY | $731K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.