Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Oneida Pediatric Group PC

Oneida Pediatric Group PC was paid $3.77M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoONEIDA PEDIATRIC GROUP PC
ONEIDA, NY 13421
33aNPI1558424739assigned 12/18/2006
33bProvider typePediatrics Physician
28Total paid$3.77M
24GClaims82,598
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#87 of 1,983
Median peer was paid$17K
This provider vs. median222×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20189,338$380K
201911,325$491K
202011,572$490K
202113,316$612K
202214,532$654K
202313,253$626K
2024incomplete9,262$518K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 20,335 18,807 $1.37M
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 15% 5,790 5,622 $567K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 5,002 4,995 $449K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.9% 4,490 4,303 $372K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.6% 4,062 4,060 $361K
90460 Immunization administration through 18 years of age via any route, first or only component 7.5% 9,893 9,790 $284K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.3% 1,654 1,653 $162K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.7% 1,515 1,496 $62K
92551 <1% 4,025 4,014 $28K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,288 1,269 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,147 2,130 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 4,858 4,848 $20K
28 more codes
99460 <1% 201 $15K
99238 Hospital discharge day management, 30 minutes or less <1% 172 $11K
81002 <1% 3,043 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 929 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 324 $5K
87807 <1% 158 $2K
99215 Doctor's office visit, returning patient (complex) <1% 13 $2K
92567 <1% 84 $1K
99441 <1% 33 $791.52
81000 <1% 120 $449.48
99173 <1% 436 $238.98
90686 <1% 2,023 $58.81
96161 <1% 13 $27.62
36416 <1% 3,630 $6.16
90633 0% 408 $0.00
90670 0% 1,741 $0.00
90734 0% 139 $0.00
90648 0% 1,824 $0.00
90715 0% 32 $0.00
90681 0% 118 $0.00
90707 0% 288 $0.00
90677 0% 150 $0.00
90723 0% 1,020 $0.00
90716 0% 346 $0.00
94760 0% 101 $0.00
90656 0% 97 $0.00
90696 0% 44 $0.00
90647 0% 52 $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 officialTORO, REEKALLAH (PRESIDENT)