Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › HAWTHORNE › BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP

BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP

NPI: 1467454967 · HAWTHORNE, NY 10532 · Child & Adolescent Psychiatry Physician · NPI assigned 08/15/2005

$52.95M
Total Medicaid Paid
973,915
Total Claims
878,005
Beneficiaries
194
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAW, ROBERT (CHIEF OPERATING OFFICER)
NPI Enumeration Date08/15/2005

Related Entities

Other providers sharing the same authorized official: SHAW, ROBERT

ProviderCityStateTotal Paid
CARROLL ARTHRITIS, PA WESTMINSTER MD $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 97,874 $5.63M
2019 82,811 $4.24M
2020 100,348 $4.93M
2021 166,814 $7.17M
2022 211,877 $10.20M
2023 187,972 $11.90M
2024 126,219 $8.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 127,047 111,637 $14.59M
99215 Prolong outpt/office vis 58,156 52,175 $11.50M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 79,274 71,985 $6.51M
90460 Immunization administration through 18 years of age via any route, first or only component 69,811 67,134 $1.69M
99205 Prolong outpt/office vis 4,870 4,761 $1.32M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 2,612 605 $1.26M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,608 10,407 $1.11M
99233 Prolong inpt eval add15 m 7,346 2,394 $1.03M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,437 8,294 $882K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,114 4,014 $826K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,170 6,959 $816K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18,205 16,646 $806K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,038 6,682 $657K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,163 567 $622K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,879 2,725 $600K
96112 3,183 3,162 $479K
99460 4,281 4,266 $471K
99468 404 393 $456K
94010 10,658 10,403 $405K
95812 995 980 $390K
99238 Hospital discharge day management, 30 minutes or less 3,588 3,570 $331K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 561 101 $293K
99232 Subsequent hospital care, per day, moderate complexity 3,181 1,686 $286K
99480 Subsequent intensive care, per day, low birth weight infant 1,865 413 $277K
99223 Prolong inpt eval add15 m 1,109 953 $257K
99051 12,306 11,390 $246K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 973 965 $231K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,568 1,556 $215K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 16,552 8,014 $210K
99441 3,721 3,437 $199K
96160 35,728 33,008 $185K
92587 7,595 7,570 $182K
95720 783 525 $178K
99239 Hospital discharge day management, more than 30 minutes 1,322 1,303 $177K
99479 Subsequent intensive care, per day, very low birth weight infant 1,134 206 $177K
95708 562 442 $171K
93320 3,312 3,057 $159K
93000 9,064 8,824 $152K
90834 Psychotherapy, 45 minutes with patient 2,126 1,077 $138K
99462 2,780 2,195 $136K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,011 3,855 $120K
96127 19,135 17,982 $117K
93325 4,830 4,500 $106K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 601 600 $102K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15,689 13,667 $100K
95700 496 490 $99K
99464 1,000 999 $85K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 584 583 $71K
99442 751 716 $68K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 463 463 $66K
87631 796 774 $66K
99222 Initial hospital care, per day, moderate complexity 386 374 $63K
96111 535 494 $58K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,553 3,078 $52K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 952 649 $51K
90837 Psychotherapy, 53 minutes with patient 486 280 $50K
92551 10,965 10,539 $45K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,449 4,196 $42K
99173 14,585 13,956 $36K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,052 7,765 $34K
87428 747 727 $33K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 586 569 $33K
92558 3,732 3,718 $32K
86580 3,037 3,018 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 591 567 $32K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 195 195 $31K
99245 570 214 $30K
90461 6,970 6,745 $30K
92060 355 353 $28K
99354 177 150 $25K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 644 622 $25K
85018 13,097 12,862 $25K
92552 1,917 1,916 $24K
95951 63 39 $24K
36415 Collection of venous blood by venipuncture 5,942 5,781 $22K
99177 4,460 4,451 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,978 4,003 $21K
97803 227 220 $20K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 178 168 $20K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 187 185 $18K
95810 Polysomnography; sleep staging with 4 or more additional parameters 98 98 $17K
95117 1,152 695 $17K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 188 143 $17K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 300 293 $17K
G0008 Administration of influenza virus vaccine 883 882 $16K
99401 393 393 $14K
0071A 347 347 $14K
87081 3,722 2,257 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 974 936 $13K
0072A 312 306 $12K
95719 54 54 $10K
94664 564 548 $10K
83655 806 805 $10K
81002 4,856 4,637 $10K
95012 331 329 $8K
99356 70 26 $8K
87807 768 698 $8K
83036 Hemoglobin; glycosylated (A1C) 811 801 $8K
4124F 444 434 $8K
81000 2,076 1,982 $8K
93040 1,834 1,818 $7K
97802 201 200 $7K
90620 431 425 $6K
87634 202 197 $6K
81003 3,691 3,479 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 37 37 $5K
0001A 131 122 $5K
99219 28 27 $5K
90686 16,418 15,426 $5K
93304 30 28 $4K
36416 14,496 14,023 $4K
99244 Office or other outpatient consultation, moderate to high complexity 64 37 $4K
90715 756 751 $4K
90651 1,072 1,069 $4K
99443 24 24 $4K
90472 Immunization administration, each additional vaccine (list separately) 202 186 $3K
92015 Determination of refractive state 313 312 $3K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 71 25 $3K
96161 937 906 $3K
99381 25 25 $3K
94060 99 99 $3K
82947 776 769 $3K
99220 13 13 $3K
99495 13 13 $2K
T1013 Sign language or oral interpretive services, per 15 minutes 154 151 $2K
94760 28,513 27,086 $2K
87420 198 195 $2K
0002A 43 43 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 155 149 $2K
76825 12 12 $1K
94726 69 69 $1K
82465 310 310 $1K
99417 Prolong home eval add 15m 28 28 $1K
94729 69 69 $1K
99174 115 66 $1K
92553 87 87 $1K
A4206 Syringe with needle, sterile, 1 cc or less, each 13,142 12,916 $1K
83718 216 216 $1K
93227 46 44 $1K
95816 13 13 $974.38
99072 164,223 146,139 $888.33
99188 51 51 $844.50
90480 24 23 $840.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47 42 $816.62
95125 33 13 $799.51
87070 98 94 $770.34
99429 27 26 $675.00
90785 47 36 $577.41
36406 42 40 $565.98
95251 12 12 $543.86
0053A 13 13 $520.00
82272 153 152 $502.79
93321 13 13 $423.38
87999 214 202 $325.00
90619 751 746 $321.76
90656 1,195 1,172 $293.62
90677 577 577 $266.70
90670 1,938 1,885 $251.03
92567 12 12 $231.50
90716 484 483 $177.68
90734 477 474 $144.41
80061 Lipid panel 14 13 $135.42
90661 117 117 $112.81
90707 540 538 $93.96
99050 12 12 $79.80
99000 10,561 10,272 $63.95
98960 173 162 $54.95
90744 722 717 $27.53
90713 154 146 $25.00
90700 627 599 $25.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 75 74 $21.55
36000 34 29 $20.00
J1644 Injection, heparin sodium, per 1000 units 16 12 $3.92
A7015 Aerosol mask, used with dme nebulizer 24 24 $2.14
A4215 Needle, sterile, any size, each 57 51 $0.70
91307 833 782 $0.08
90672 13 13 $0.00
90710 348 348 $0.00
99367 72 45 $0.00
90633 1,199 1,194 $0.00
91300 268 241 $0.00
90648 280 276 $0.00
90685 43 43 $0.00
90658 27 27 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 18 14 $0.00
90698 1,283 1,269 $0.00
90680 1,151 1,138 $0.00
90696 394 394 $0.00
90697 37 37 $0.00
90674 27 27 $0.00
91305 40 40 $0.00
90660 20 20 $0.00
36591 55 39 $0.00
90647 14 14 $0.00