Physician
Fallsburg Pediatrics PC
Fallsburg Pediatrics PC was paid $3.71M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoFALLSBURG PEDIATRICS PC
FALLSBURG, NY 12733
FALLSBURG, NY 12733
33aNPI1508157215assigned 04/28/2011
33bProvider typePediatrics Physician
28Total paid$3.71M
24GClaims78,021
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#89 of 1,983
Median peer was paid$17K
This provider vs. median218×
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 | 474 | $36K | |
| 2019 | 8,558 | $413K | |
| 2020 | 9,411 | $456K | |
| 2021 | 12,812 | $669K | |
| 2022 | 14,493 | $692K | |
| 2023 | 17,522 | $786K | |
| 2024incomplete | 14,751 | $655K |
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 | 50% | 28,234 | 24,286 | $1.85M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 4,932 | 4,845 | $387K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 3,888 | 3,855 | $315K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 3,053 | 2,868 | $223K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.5% | 10,129 | 9,477 | $203K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 2,092 | 2,083 | $188K |
| 99441 | 2.1% | 1,867 | 1,821 | $77K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 1,894 | 1,790 | $70K |
| 99051 | 1.8% | 6,771 | 6,517 | $67K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 800 | 800 | $64K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 620 | 618 | $54K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 4,965 | 4,937 | $53K |
31 more codes
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 387 | $36K |
| 99381 | <1% | 406 | $32K | |
| 99442 | <1% | 348 | $22K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,172 | $16K |
| 90697 | <1% | 793 | $11K | |
| 99382 | <1% | 97 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 580 | $7K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 534 | $5K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 79 | $4K |
| 99383 | <1% | 36 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 72 | $3K |
| 90671 | <1% | 475 | $3K | |
| 90686 | <1% | 746 | $2K | |
| 90734 | <1% | 295 | $791.86 | |
| 90715 | <1% | 239 | $467.07 | |
| 90707 | <1% | 52 | $448.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 82 | $311.25 |
| 90655 | <1% | 29 | $266.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33 | $165.00 |
| 90723 | 0% | 238 | $0.00 | |
| 90696 | 0% | 151 | $0.00 | |
| 90698 | 0% | 40 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 90670 | 0% | 767 | $0.00 | |
| 90633 | 0% | 292 | $0.00 | |
| 90710 | 0% | 517 | $0.00 | |
| 90648 | 0% | 154 | $0.00 | |
| 90700 | 0% | 89 | $0.00 | |
| 90649 | 0% | 33 | $0.00 | |
| 90681 | 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 officialGOTTLIEB, ESTHER (NURSE PRACTITIONER)