Physician
Pugliese, Madeline
Pugliese, Madeline was paid $15K by Medicaid between Sep 2020 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.
33Billing provider infoPUGLIESE, MADELINE
PORT WASHINGTON, NY 11050
PORT WASHINGTON, NY 11050
33aNPI1538129895assigned 03/23/2006
33bProvider typePediatrics Physician
28Total paid$15K
24GClaims561
24DCodes billed6
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#1,008 of 1,983
Median peer was paid$17K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 12 | $79.44 | |
| 2022 | 27 | $1K | |
| 2023 | 44 | $485.84 | |
| 2024incomplete | 478 | $14K |
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 | 85% | 167 | 159 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 237 | 237 | $2K |
| 92551 | 1.1% | 28 | 28 | $162.40 | |
| 81002 | <1% | 25 | 25 | $45.50 | |
| 96160 | <1% | 65 | 65 | $30.34 | |
| 90656 | 0% | 39 | 39 | $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.