Physician
MMC Pediatric Ambulatory Care
MMC Pediatric Ambulatory Care was paid $64K by Medicaid between Mar 2018 and Jun 2019, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.
33Billing provider infoMMC PEDIATRIC AMBULATORY CARE
BROOKLYN, NY 11219
BROOKLYN, NY 11219
33aNPI1477569879assigned 07/31/2006
33bProvider typePediatrics Physician
28Total paid$64K
24GClaims5,524
24DCodes billed12
24AFirst – last monthMar 2018 – Jun 2019
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#760 of 1,983
Median peer was paid$17K
This provider vs. median3.8×
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 | 3,352 | $46K | |
| 2019 | 2,172 | $18K |
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 | 90% | 992 | 967 | $58K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.5% | 39 | 37 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 26 | 26 | $1K |
| G0008 | Administration of influenza virus vaccine | 1.3% | 53 | 53 | $838.95 |
| 92551 | 1.3% | 55 | 55 | $817.04 | |
| 99173 | <1% | 43 | 43 | $182.32 | |
| 1159F | 0% | 690 | 665 | $0.00 | |
| 1160F | 0% | 1,105 | 1,073 | $0.00 | |
| 3078F | 0% | 783 | 764 | $0.00 | |
| 3074F | 0% | 794 | 775 | $0.00 | |
| 1126F | 0% | 873 | 851 | $0.00 | |
| 90686 | 0% | 71 | 71 | $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 officialSHELOV, STEVEN (CHAIRMAN, DEPARTMENT OF PEDIATRICS)
| Provider | Location | Paid |
|---|---|---|
| MMC Pediatrics Faculty Practice | Brooklyn, NY | $3.80M |
| Maimonides Nursery FPP | Brooklyn, NY | $2.37M |
| MMC Neonatology FPP | Brooklyn, NY | $2.19M |
| MMC Pediatric Hematology Oncology | Brooklyn, NY | $778K |
| MMC Pediatric Critical Care FPP | Brooklyn, NY | $768K |
| MMC Endocrine Associates | Brooklyn, NY | $349K |
| MMC Pediatric Neurology FPP | Brooklyn, NY | $94K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.