Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BRONX › JEROME PEDIATRIC P.C

JEROME PEDIATRIC P.C

NPI: 1497078554 · BRONX, NY 10468 · Primary Care Clinic/Center · NPI assigned 03/03/2010

$1.41M
Total Medicaid Paid
219,296
Total Claims
214,028
Beneficiaries
104
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUIDO, GIANCARLO (DIRECTOR)
NPI Enumeration Date03/03/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,581 $133K
2019 31,111 $198K
2020 35,649 $245K
2021 30,735 $146K
2022 37,325 $242K
2023 32,260 $240K
2024 27,635 $202K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,955 20,807 $432K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,047 6,037 $142K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,293 12,360 $139K
90460 Immunization administration through 18 years of age via any route, first or only component 16,623 16,417 $125K
92587 14,173 14,144 $122K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,819 3,810 $109K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,568 3,543 $102K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,527 1,501 $48K
99401 11,198 10,979 $33K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,023 3,004 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,030 1,028 $27K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 431 428 $13K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 823 777 $10K
90461 4,628 4,612 $7K
97802 8,545 8,507 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 578 573 $5K
81002 9,500 9,392 $5K
96127 3,020 3,019 $4K
99496 707 690 $3K
87081 1,767 1,751 $3K
99441 209 203 $3K
99383 81 81 $3K
90677 236 236 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 471 293 $2K
90670 1,181 1,180 $2K
90686 5,148 5,129 $2K
99429 547 543 $2K
99384 27 27 $2K
85018 793 788 $2K
99173 8,844 8,822 $1K
90633 1,350 1,348 $1K
94667 402 388 $1K
87807 214 212 $1K
90734 864 863 $1K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 722 713 $1K
H0049 Alcohol and/or drug screening 442 442 $931.90
90661 58 58 $915.43
90716 425 425 $909.00
90715 1,181 1,180 $902.05
90619 233 233 $875.00
99495 117 116 $755.00
99382 12 12 $730.45
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 463 458 $688.74
90707 330 330 $555.00
H0001 Alcohol and/or drug assessment 2,744 2,742 $508.22
99381 12 12 $490.20
90656 151 151 $472.38
83655 37 37 $346.31
90647 528 528 $340.00
87430 159 157 $304.22
A7015 Aerosol mask, used with dme nebulizer 782 742 $250.58
90672 1,989 1,989 $244.29
A4927 Gloves, non-sterile, per 100 1,389 1,377 $221.56
96161 524 511 $164.90
96110 Developmental screening, with scoring and documentation, per standardized instrument 213 213 $157.37
90723 92 92 $150.00
86580 19 19 $146.30
99177 310 310 $123.12
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 734 697 $111.43
A4930 Gloves, sterile, per pair 3,664 3,593 $94.52
90698 26 26 $71.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $60.90
90660 49 49 $57.76
90651 1,960 1,960 $53.55
90620 569 568 $53.55
90700 69 69 $42.85
90680 546 546 $32.85
90688 213 213 $18.77
1111F 216 211 $15.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,226 3,221 $9.97
94760 203 190 $2.70
87110 30 30 $1.26
G9820 Documentation of a chlamydia screening test with proper follow-up 2,550 2,545 $0.93
A4206 Syringe with needle, sterile, 1 cc or less, each 20 20 $0.76
G0444 Annual depression screening, 5 to 15 minutes 38 38 $0.23
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 2,014 2,012 $0.04
3008F 10,018 9,656 $0.02
3725F 1,272 1,270 $0.00
3511F 2,622 2,598 $0.00
3078F 295 295 $0.00
3085F 1,528 1,526 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 153 153 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 97 97 $0.00
90685 228 228 $0.00
4551F 306 306 $0.00
3016F 55 55 $0.00
90710 114 114 $0.00
90681 27 27 $0.00
G8482 Influenza immunization administered or previously received 159 158 $0.00
90658 14 14 $0.00
1036F 1,535 1,531 $0.00
1220F 2,324 2,314 $0.00
99000 1,813 1,791 $0.00
36416 902 893 $0.00
1000F 1,270 1,269 $0.00
2010F 6,872 6,814 $0.00
2001F 10,300 9,883 $0.00
90674 177 177 $0.00
90696 192 192 $0.00
1005F 12 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 176 175 $0.00
90697 41 41 $0.00
4037F 85 84 $0.00
S9451 Exercise classes, non-physician provider, per session 15 15 $0.00