Clinic
Jerome Pediatric P.C
Jerome Pediatric P.C was paid $1.41M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoJEROME PEDIATRIC P.C
BRONX, NY 10468
BRONX, NY 10468
33aNPI1497078554assigned 03/03/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$1.41M
24GClaims219,296
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#31 of 242
Median peer was paid$172K
This provider vs. median8.2×
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 | 24,581 | $133K | |
| 2019 | 31,111 | $198K | |
| 2020 | 35,649 | $245K | |
| 2021 | 30,735 | $146K | |
| 2022 | 37,325 | $242K | |
| 2023 | 32,260 | $240K | |
| 2024incomplete | 27,635 | $202K |
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 | 31% | 22,955 | 20,807 | $432K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 6,047 | 6,037 | $142K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.9% | 13,293 | 12,360 | $139K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.9% | 16,623 | 16,417 | $125K |
| 92587 | 8.6% | 14,173 | 14,144 | $122K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.8% | 3,819 | 3,810 | $109K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 3,568 | 3,543 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 1,527 | 1,501 | $48K |
| 99401 | 2.3% | 11,198 | 10,979 | $33K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.3% | 3,023 | 3,004 | $32K |
| 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 | 1.9% | 1,030 | 1,028 | $27K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 431 | 428 | $13K |
92 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 823 | $10K |
| 90461 | <1% | 4,628 | $7K | |
| 97802 | <1% | 8,545 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 578 | $5K |
| 81002 | <1% | 9,500 | $5K | |
| 96127 | <1% | 3,020 | $4K | |
| 99496 | <1% | 707 | $3K | |
| 87081 | <1% | 1,767 | $3K | |
| 99441 | <1% | 209 | $3K | |
| 99383 | <1% | 81 | $3K | |
| 90677 | <1% | 236 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 471 | $2K |
| 90670 | <1% | 1,181 | $2K | |
| 90686 | <1% | 5,148 | $2K | |
| 99429 | <1% | 547 | $2K | |
| 99384 | <1% | 27 | $2K | |
| 85018 | <1% | 793 | $2K | |
| 99173 | <1% | 8,844 | $1K | |
| 90633 | <1% | 1,350 | $1K | |
| 94667 | <1% | 402 | $1K | |
| 87807 | <1% | 214 | $1K | |
| 90734 | <1% | 864 | $1K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 722 | $1K |
| H0049 | Alcohol and/or drug screening | <1% | 442 | $931.90 |
| 90661 | <1% | 58 | $915.43 | |
| 90716 | <1% | 425 | $909.00 | |
| 90715 | <1% | 1,181 | $902.05 | |
| 90619 | <1% | 233 | $875.00 | |
| 99495 | <1% | 117 | $755.00 | |
| 99382 | <1% | 12 | $730.45 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 463 | $688.74 |
| 90707 | <1% | 330 | $555.00 | |
| H0001 | Alcohol and/or drug assessment | <1% | 2,744 | $508.22 |
| 99381 | <1% | 12 | $490.20 | |
| 90656 | <1% | 151 | $472.38 | |
| 83655 | <1% | 37 | $346.31 | |
| 90647 | <1% | 528 | $340.00 | |
| 87430 | <1% | 159 | $304.22 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 782 | $250.58 |
| 90672 | <1% | 1,989 | $244.29 | |
| A4927 | Gloves, non-sterile, per 100 | <1% | 1,389 | $221.56 |
| 96161 | <1% | 524 | $164.90 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 213 | $157.37 |
| 90723 | <1% | 92 | $150.00 | |
| 86580 | <1% | 19 | $146.30 | |
| 99177 | <1% | 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 | <1% | 734 | $111.43 |
| A4930 | Gloves, sterile, per pair | <1% | 3,664 | $94.52 |
| 90698 | <1% | 26 | $71.40 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $60.90 |
| 90660 | <1% | 49 | $57.76 | |
| 90651 | <1% | 1,960 | $53.55 | |
| 90620 | <1% | 569 | $53.55 | |
| 90700 | <1% | 69 | $42.85 | |
| 90680 | <1% | 546 | $32.85 | |
| 90688 | <1% | 213 | $18.77 | |
| 1111F | <1% | 216 | $15.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,226 | $9.97 |
| 94760 | <1% | 203 | $2.70 | |
| 87110 | <1% | 30 | $1.26 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 2,550 | $0.93 |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 20 | $0.76 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 38 | $0.23 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 2,014 | $0.04 |
| 3008F | <1% | 10,018 | $0.02 | |
| 3725F | 0% | 1,272 | $0.00 | |
| 3511F | 0% | 2,622 | $0.00 | |
| 3078F | 0% | 295 | $0.00 | |
| 3085F | 0% | 1,528 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 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) | 0% | 97 | $0.00 |
| 90685 | 0% | 228 | $0.00 | |
| 4551F | 0% | 306 | $0.00 | |
| 3016F | 0% | 55 | $0.00 | |
| 90710 | 0% | 114 | $0.00 | |
| 90681 | 0% | 27 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 159 | $0.00 |
| 90658 | 0% | 14 | $0.00 | |
| 1036F | 0% | 1,535 | $0.00 | |
| 1220F | 0% | 2,324 | $0.00 | |
| 99000 | 0% | 1,813 | $0.00 | |
| 36416 | 0% | 902 | $0.00 | |
| 1000F | 0% | 1,270 | $0.00 | |
| 2010F | 0% | 6,872 | $0.00 | |
| 2001F | 0% | 10,300 | $0.00 | |
| 90674 | 0% | 177 | $0.00 | |
| 90696 | 0% | 192 | $0.00 | |
| 1005F | 0% | 12 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 176 | $0.00 |
| 90697 | 0% | 41 | $0.00 | |
| 4037F | 0% | 85 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 15 | $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 officialGUIDO, GIANCARLO (DIRECTOR)