Physician
Pediatric Urology Associates, PC
Pediatric Urology Associates, PC was paid $8.76M by Medicaid between Jan 2018 and Oct 2023, across 31 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 32% of everything it billed.
33Billing provider infoPEDIATRIC UROLOGY ASSOCIATES, PC
TARRYTOWN, NY 10591
TARRYTOWN, NY 10591
33aNPI1518989193assigned 07/24/2006
33bProvider typePediatric Urology Physician
28Total paid$8.76M
24GClaims84,028
24DCodes billed31
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Pediatric Urology Physician providers in New York
Rank by total paid#1 of 9
Median peer was paid$11K
This provider vs. median813×
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 | 11,677 | $1.16M | |
| 2019 | 13,993 | $1.41M | |
| 2020 | 13,297 | $1.41M | |
| 2021 | 15,371 | $1.67M | |
| 2022 | 15,464 | $1.71M | |
| 2023 | 14,226 | $1.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 32% | 18,188 | 18,174 | $2.78M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 19,719 | 19,467 | $2.03M |
| 76775 | 8.4% | 9,416 | 9,352 | $734K | |
| 54300 | 7.5% | 680 | 680 | $655K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.2% | 2,416 | 2,415 | $547K |
| 51784 | 6.1% | 2,360 | 2,202 | $532K | |
| 54161 | 4.2% | 1,788 | 1,685 | $366K | |
| 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 | 2.7% | 1,436 | 1,420 | $240K |
| 51798 | 2.2% | 10,893 | 10,484 | $190K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.5% | 1,320 | 1,310 | $131K |
| 76857 | 1.4% | 1,811 | 1,794 | $126K | |
| 51741 | 1.0% | 1,919 | 1,652 | $92K |
19 more codes
| 76770 | <1% | 850 | $86K | |
| 76870 | <1% | 455 | $50K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 840 | $49K |
| 99243 | <1% | 511 | $43K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 372 | $34K |
| 54150 | <1% | 94 | $23K | |
| 54512 | <1% | 39 | $19K | |
| 81002 | <1% | 6,299 | $17K | |
| 14040 | <1% | 13 | $7K | |
| 49320 | <1% | 15 | $3K | |
| 93976 | <1% | 15 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 16 | $2K |
| 99384 | <1% | 12 | $2K | |
| 76140 | <1% | 357 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $2K |
| 54450 | <1% | 162 | $1K | |
| 64450 | <1% | 1,996 | $314.87 | |
| 53605 | <1% | 12 | $127.35 | |
| 64425 | 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 officialREDA, EDWARD (PRESIDENT- MD)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Urology Associates of New Jersey, PC | Englewood, NJ | $115K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.