Physician
Ilyayeva, Irina
Ilyayeva, Irina was paid $2.96M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoILYAYEVA, IRINA
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1558394312assigned 07/07/2006
33bProvider typePediatrics Physician
28Total paid$2.96M
24GClaims105,684
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#111 of 1,983
Median peer was paid$17K
This provider vs. median174×
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 | 9,993 | $290K | |
| 2019 | 13,827 | $370K | |
| 2020 | 18,139 | $448K | |
| 2021 | 20,155 | $562K | |
| 2022 | 16,160 | $481K | |
| 2023 | 17,655 | $524K | |
| 2024incomplete | 9,755 | $286K |
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 | 30% | 11,580 | 10,346 | $878K |
| 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 | 19% | 6,020 | 5,411 | $566K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 9.9% | 2,726 | 2,725 | $293K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 7,871 | 7,771 | $170K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 1,877 | 1,874 | $146K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 1,641 | 1,638 | $127K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 3.7% | 757 | 755 | $110K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 812 | 812 | $70K |
| 99401 | 2.0% | 2,090 | 2,040 | $61K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,261 | 1,242 | $53K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.7% | 6,455 | 6,429 | $51K |
| 90461 | 1.6% | 1,988 | 1,976 | $46K |
50 more codes
| 92551 | 1.4% | 4,128 | $41K | |
| 92567 | 1.1% | 2,531 | $33K | |
| 99058 | 1.1% | 3,000 | $32K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 434 | $32K |
| 99188 | 1.0% | 2,332 | $31K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 3,805 | $30K |
| 99051 | <1% | 4,152 | $29K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,904 | $27K |
| 36410 | <1% | 2,551 | $25K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,656 | $22K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 887 | $10K |
| 94760 | <1% | 6,349 | $8K | |
| 99402 | <1% | 190 | $8K | |
| H0001 | Alcohol and/or drug assessment | <1% | 256 | $7K |
| 96127 | <1% | 1,010 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,925 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 53 | $5K |
| 81002 | <1% | 1,534 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $3K |
| 92015 | Determination of refractive state | <1% | 238 | $3K |
| 99173 | <1% | 1,952 | $3K | |
| 90686 | <1% | 3,727 | $3K | |
| 96160 | <1% | 1,266 | $3K | |
| 90716 | <1% | 397 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 193 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 109 | $2K |
| 90707 | <1% | 314 | $2K | |
| 99495 | <1% | 12 | $2K | |
| 90651 | <1% | 170 | $2K | |
| 99000 | <1% | 2,839 | $2K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 14 | $2K |
| A4208 | Syringe with needle, sterile 3 cc, each | <1% | 4,765 | $1K |
| 96161 | <1% | 270 | $691.24 | |
| A4930 | Gloves, sterile, per pair | <1% | 3,772 | $604.21 |
| 97802 | <1% | 32 | $389.87 | |
| 90715 | <1% | 75 | $304.86 | |
| 36406 | <1% | 25 | $245.66 | |
| 90620 | <1% | 174 | $188.81 | |
| 90734 | <1% | 86 | $61.25 | |
| 90633 | <1% | 101 | $41.67 | |
| 99070 | <1% | 85 | $2.25 | |
| 90648 | 0% | 372 | $0.00 | |
| 90700 | 0% | 197 | $0.00 | |
| 90671 | 0% | 144 | $0.00 | |
| 90685 | 0% | 47 | $0.00 | |
| 90670 | 0% | 232 | $0.00 | |
| 90713 | 0% | 25 | $0.00 | |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | 0% | 36 | $0.00 |
| 90723 | 0% | 145 | $0.00 | |
| 90744 | 0% | 68 | $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.