Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FALLSBURG PEDIATRICS PC

NPI: 1508157215 · FALLSBURG, NY 12733 · Pediatrics Physician · NPI assigned 04/28/2011

$3.71M
Total Medicaid Paid
78,021
Total Claims
72,037
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOTTLIEB, ESTHER (NURSE PRACTITIONER)
NPI Enumeration Date04/28/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 474 $36K
2019 8,558 $413K
2020 9,411 $456K
2021 12,812 $669K
2022 14,493 $692K
2023 17,522 $786K
2024 14,751 $655K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,234 24,286 $1.85M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,932 4,845 $387K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,888 3,855 $315K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,053 2,868 $223K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 10,129 9,477 $203K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,092 2,083 $188K
99441 1,867 1,821 $77K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,894 1,790 $70K
99051 6,771 6,517 $67K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 800 800 $64K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 620 618 $54K
90460 Immunization administration through 18 years of age via any route, first or only component 4,965 4,937 $53K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 387 385 $36K
99381 406 403 $32K
99442 348 320 $22K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,172 584 $16K
90697 793 793 $11K
99382 97 97 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 580 571 $7K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 534 532 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 79 76 $4K
99383 36 36 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 72 71 $3K
90671 475 475 $3K
90686 746 746 $2K
90734 295 295 $791.86
90715 239 239 $467.07
90707 52 52 $448.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 82 82 $311.25
90655 29 29 $266.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 33 33 $165.00
90723 238 238 $0.00
90696 151 151 $0.00
90698 40 40 $0.00
90680 13 13 $0.00
90744 13 13 $0.00
90670 767 767 $0.00
90633 292 292 $0.00
90710 517 517 $0.00
90648 154 154 $0.00
90700 89 89 $0.00
90649 33 33 $0.00
90681 14 14 $0.00