Calkins, Joan

Calkins, Joan was paid $41K by Medicaid between Mar 2018 and Sep 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.

33Billing provider infoCALKINS, JOAN
HAMBURG, NY 14075

33aNPI1518928456assigned 03/30/2006

33bProvider typePediatrics Physician

28Total paid$41K

24GClaims1,446

24DCodes billed7

24AFirst – last monthMar 2018 – Sep 2024

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#844 of 1,983

Median peer was paid$17K

This provider vs. median2.4×

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	34	$1K
2019	51	$1K
2020	120	$3K
2021	464	$9K
2022	385	$10K
2023	261	$10K
2024incomplete	131	$7K

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	84%	699	604	$35K
90460	Immunization administration through 18 years of age via any route, first or only component	7.1%	100	100	$3K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	4.8%	44	44	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.9%	197	184	$1K
94760		<1%	272	258	$311.73
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	30	14	$171.20
99072		0%	104	92	$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.