Physician
Troy Pediatrics, LLP
Troy Pediatrics, LLP was paid $1.25M by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoTROY PEDIATRICS, LLP
TROY, NY 12180
TROY, NY 12180
33aNPI1497721575assigned 02/27/2006
33bProvider typePediatrics Physician
28Total paid$1.25M
24GClaims34,611
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#247 of 1,983
Median peer was paid$17K
This provider vs. median73×
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 | 2,194 | $96K | |
| 2019 | 4,121 | $152K | |
| 2020 | 6,544 | $193K | |
| 2021 | 5,123 | $183K | |
| 2022 | 6,134 | $225K | |
| 2023 | 6,139 | $227K | |
| 2024incomplete | 4,356 | $168K |
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 | 58% | 11,881 | 11,191 | $722K |
| 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 | 8.6% | 1,240 | 1,190 | $107K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 1,146 | 1,144 | $92K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 1,029 | 1,029 | $80K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 1,353 | 1,351 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 614 | 613 | $47K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 2,511 | 2,505 | $46K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 294 | 294 | $25K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 892 | 891 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 288 | 286 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 566 | 280 | $7K |
| H0049 | Alcohol and/or drug screening | <1% | 401 | 401 | $7K |
33 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 161 | $6K |
| 90461 | <1% | 165 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 393 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 396 | $3K |
| 96127 | <1% | 616 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 274 | $2K |
| 0071A | <1% | 38 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 126 | $2K |
| 99177 | <1% | 1,999 | $827.71 | |
| 0072A | <1% | 16 | $792.05 | |
| 87807 | <1% | 55 | $506.86 | |
| 90686 | <1% | 1,749 | $348.87 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 66 | $333.81 |
| 81000 | <1% | 73 | $282.98 | |
| 83655 | <1% | 17 | $184.09 | |
| 96161 | <1% | 105 | $105.59 | |
| 90656 | <1% | 75 | $44.70 | |
| 85018 | <1% | 19 | $35.86 | |
| 99173 | <1% | 842 | $7.37 | |
| 94760 | 0% | 1,047 | $0.00 | |
| 90698 | 0% | 136 | $0.00 | |
| 90619 | 0% | 37 | $0.00 | |
| 90680 | 0% | 89 | $0.00 | |
| 36416 | 0% | 133 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90697 | 0% | 13 | $0.00 | |
| 99080 | 0% | 3,361 | $0.00 | |
| 99072 | 0% | 77 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90670 | 0% | 229 | $0.00 | |
| 90685 | 0% | 38 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90734 | 0% | 14 | $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 officialWALDERS, PAMELA (MEDICAL DOCTOR)