Physician
Pediatric Associates of Watertown P.C.
Pediatric Associates of Watertown P.C. was paid $3.00M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF WATERTOWN P.C.
WATERTOWN, NY 13601
WATERTOWN, NY 13601
33aNPI1497855670assigned 09/25/2006
33bProvider typePediatrics Physician
28Total paid$3.00M
24GClaims60,053
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#109 of 1,983
Median peer was paid$17K
This provider vs. median177×
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 | 6,593 | $280K | |
| 2019 | 9,421 | $381K | |
| 2020 | 10,151 | $425K | |
| 2021 | 10,296 | $496K | |
| 2022 | 8,468 | $437K | |
| 2023 | 8,365 | $491K | |
| 2024incomplete | 6,759 | $486K |
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% | 14,674 | 13,287 | $942K |
| 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 | 29% | 9,305 | 8,595 | $860K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.7% | 7,970 | 7,888 | $290K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 2,763 | 2,626 | $212K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 2,179 | 2,178 | $175K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 1,655 | 1,654 | $131K |
| 92552 | 2.9% | 4,327 | 4,323 | $86K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 948 | 948 | $83K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.4% | 2,217 | 2,180 | $73K |
| 87631 | 2.1% | 676 | 660 | $62K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,073 | 632 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,697 | 1,636 | $16K |
29 more codes
| 96127 | <1% | 2,680 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 343 | $11K |
| 83655 | <1% | 638 | $6K | |
| 99173 | <1% | 2,548 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 249 | $3K |
| 99188 | <1% | 174 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 283 | $2K |
| 85018 | <1% | 639 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 99460 | <1% | 16 | $1K | |
| 92558 | <1% | 202 | $1K | |
| 96160 | <1% | 477 | $918.92 | |
| 0072A | <1% | 21 | $836.43 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $716.52 |
| 0071A | <1% | 13 | $515.24 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 245 | $180.82 |
| 81003 | <1% | 71 | $120.49 | |
| 90686 | <1% | 252 | $65.62 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 248 | $20.85 |
| 94760 | <1% | 605 | $3.90 | |
| 90671 | <1% | 28 | $0.15 | |
| 90677 | <1% | 14 | $0.06 | |
| 90648 | 0% | 53 | $0.00 | |
| 90670 | 0% | 65 | $0.00 | |
| 99070 | 0% | 446 | $0.00 | |
| 90656 | 0% | 41 | $0.00 | |
| 99000 | 0% | 155 | $0.00 | |
| 90723 | 0% | 12 | $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 officialVICTORIA, MARIO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Samaritan Medical Practice, PC | Watertown, NY | $745K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.