Physician
Segulah Pediatrics
Segulah Pediatrics was paid $4.00M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSEGULAH PEDIATRICS
BROOKLYN, NY 11204
BROOKLYN, NY 11204
33aNPI1548522592assigned 06/14/2012
33bProvider typePediatrics Physician
28Total paid$4.00M
24GClaims82,702
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#81 of 1,983
Median peer was paid$17K
This provider vs. median236×
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 | 25,573 | $1.14M | |
| 2019 | 6,731 | $292K | |
| 2020 | 9,217 | $405K | |
| 2021 | 11,836 | $586K | |
| 2022 | 10,390 | $547K | |
| 2023 | 10,326 | $531K | |
| 2024incomplete | 8,629 | $497K |
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 | 40% | 22,001 | 17,971 | $1.60M |
| 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 | 14% | 5,175 | 4,746 | $577K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 3,698 | 3,689 | $352K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.6% | 8,253 | 8,186 | $303K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 2,811 | 2,807 | $268K |
| 99441 | 4.7% | 4,155 | 3,557 | $186K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 1,974 | 1,961 | $172K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 1,337 | 1,334 | $138K |
| 99442 | 2.4% | 1,283 | 1,203 | $94K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 9,761 | 8,971 | $92K |
| 87070 | 1.1% | 8,667 | 7,917 | $45K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 886 | 864 | $38K |
23 more codes
| 90677 | <1% | 174 | $37K | |
| 99051 | <1% | 5,854 | $30K | |
| 36406 | <1% | 1,249 | $16K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 119 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 112 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 67 | $7K |
| 99383 | <1% | 56 | $6K | |
| 99460 | <1% | 77 | $6K | |
| 81002 | <1% | 2,531 | $5K | |
| 99384 | <1% | 35 | $4K | |
| 86317 | <1% | 403 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,508 | $2K |
| 90461 | <1% | 41 | $2K | |
| 69210 | <1% | 52 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 61 | $2K |
| 99443 | <1% | 14 | $2K | |
| 90619 | <1% | 67 | $180.00 | |
| 87081 | <1% | 34 | $143.10 | |
| 99072 | <1% | 16 | $57.50 | |
| 90687 | <1% | 162 | $1.58 | |
| 90672 | 0% | 15 | $0.00 | |
| 90686 | 0% | 42 | $0.00 | |
| 90698 | 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 officialADLER, ROBERT (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Robert Adler DDS PC | Brooklyn, NY | $1.27M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.