Physician
Modern Pediatrics of Great New York, PC
Modern Pediatrics of Great New York, PC was paid $5.42M by Medicaid between Jan 2018 and Oct 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoMODERN PEDIATRICS OF GREAT NEW YORK, PC
BROOKLYN, NY 11218
BROOKLYN, NY 11218
33aNPI1558412668assigned 01/15/2007
33bProvider typePediatrics Physician
28Total paid$5.42M
24GClaims136,920
24DCodes billed42
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#57 of 1,983
Median peer was paid$17K
This provider vs. median319×
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 | 22,982 | $828K | |
| 2019 | 23,801 | $882K | |
| 2020 | 23,036 | $845K | |
| 2021 | 20,360 | $823K | |
| 2022 | 19,188 | $828K | |
| 2023 | 16,647 | $723K | |
| 2024incomplete | 10,906 | $489K |
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 | 56% | 41,318 | 31,212 | $3.02M |
| 94060 | 8.5% | 11,410 | 11,407 | $461K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 4,809 | 4,407 | $408K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 4,278 | 4,215 | $338K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 3,061 | 2,317 | $267K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 2,478 | 2,453 | $222K |
| 92567 | 3.2% | 14,547 | 14,538 | $173K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.7% | 11,939 | 10,464 | $144K |
| 92587 | 2.6% | 4,423 | 4,422 | $139K | |
| 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 | 1.2% | 565 | 563 | $63K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14,648 | 14,377 | $53K |
| 92568 | <1% | 3,949 | 3,946 | $46K |
30 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,533 | $32K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 275 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 403 | $18K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 55 | $5K |
| 86403 | <1% | 523 | $4K | |
| 90688 | <1% | 2,025 | $2K | |
| 92015 | Determination of refractive state | <1% | 83 | $1K |
| 87430 | <1% | 145 | $1K | |
| 90686 | <1% | 2,042 | $634.62 | |
| 0002A | <1% | 15 | $531.19 | |
| 90651 | <1% | 488 | $506.08 | |
| 0001A | <1% | 12 | $438.29 | |
| 90707 | <1% | 649 | $281.88 | |
| 90670 | <1% | 1,500 | $205.12 | |
| 90716 | <1% | 735 | $162.72 | |
| 99050 | <1% | 26 | $136.50 | |
| 90633 | <1% | 800 | $77.23 | |
| 90656 | <1% | 212 | $69.41 | |
| 90744 | <1% | 696 | $56.62 | |
| 90715 | <1% | 62 | $29.36 | |
| 90685 | <1% | 703 | $22.24 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $4.05 |
| 90713 | 0% | 1,680 | $0.00 | |
| 90734 | 0% | 248 | $0.00 | |
| 90648 | 0% | 1,523 | $0.00 | |
| 90700 | 0% | 2,075 | $0.00 | |
| 91300 | 0% | 29 | $0.00 | |
| 90680 | 0% | 873 | $0.00 | |
| 90619 | 0% | 58 | $0.00 | |
| 36416 | 0% | 14 | $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 officialBOND, HARRY (PRESIDENT)