Physician
Five Towns Pediatrics
Five Towns Pediatrics was paid $3.34M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoFIVE TOWNS PEDIATRICS
WOODMERE, NY 11598
WOODMERE, NY 11598
33aNPI1538247986assigned 11/02/2006
33bProvider typeAdolescent Medicine (Family Medicine) Physician
28Total paid$3.34M
24GClaims96,564
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Adolescent Medicine (Family Medicine) Physician providers in New York
Rank by total paid#1 of 9
Median peer was paid$5K
This provider vs. median701×
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 | 212 | $7K | |
| 2019 | 2,040 | $74K | |
| 2020 | 10,201 | $279K | |
| 2021 | 15,827 | $484K | |
| 2022 | 21,305 | $694K | |
| 2023 | 22,088 | $855K | |
| 2024incomplete | 24,891 | $951K |
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 | 37% | 15,232 | 13,741 | $1.24M |
| 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 | 22% | 6,194 | 5,838 | $723K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 2,580 | 2,536 | $233K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 2,098 | 2,098 | $202K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 8,782 | 8,686 | $162K |
| 92588 | 4.6% | 3,927 | 3,924 | $153K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 1,355 | 1,355 | $124K |
| 87631 | 2.3% | 822 | 790 | $78K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.2% | 3,626 | 3,440 | $75K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 642 | 642 | $59K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 920 | 886 | $50K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 3,251 | 1,654 | $40K |
35 more codes
| 99051 | 1.1% | 6,382 | $36K | |
| 96127 | 1.1% | 5,012 | $35K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,646 | $30K |
| 90677 | <1% | 286 | $18K | |
| 83655 | <1% | 1,588 | $18K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 85 | $16K |
| 90461 | <1% | 1,670 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,503 | $8K |
| 96161 | <1% | 2,965 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 584 | $5K |
| 92568 | <1% | 351 | $5K | |
| 90661 | <1% | 426 | $4K | |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 16 | $3K |
| 99174 | <1% | 1,611 | $2K | |
| 90686 | <1% | 1,891 | $2K | |
| 99050 | <1% | 425 | $2K | |
| 97802 | <1% | 356 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,166 | $558.75 |
| 96160 | <1% | 1,671 | $513.48 | |
| 99000 | <1% | 4,959 | $395.94 | |
| 96380 | <1% | 12 | $272.01 | |
| 90670 | <1% | 684 | $241.38 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 14 | $177.06 |
| 99401 | <1% | 27 | $131.79 | |
| 90723 | <1% | 600 | $75.69 | |
| 36416 | <1% | 2,884 | $3.64 | |
| 91307 | <1% | 43 | $0.10 | |
| 90648 | 0% | 832 | $0.00 | |
| 90633 | 0% | 140 | $0.00 | |
| 90734 | 0% | 24 | $0.00 | |
| 90681 | 0% | 123 | $0.00 | |
| 90707 | 0% | 44 | $0.00 | |
| 92567 | 0% | 28 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90716 | 0% | 75 | $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 officialGREEN, ABRAHAM (MEDICAL DIRECTOR)