Healthy Children Pediatric Medicine,p.C.
Healthy Children Pediatric Medicine,p.C. was paid $240K by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 54% of everything it billed.
33Billing provider infoHEALTHY CHILDREN PEDIATRIC MEDICINE,P.C.
BRONX, NY 10452
BRONX, NY 10452
33aNPI1558626515assigned 07/05/2012
33bProvider typeSpecialist
28Total paid$240K
24GClaims56,490
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#344 of 1,221
Median peer was paid$45K
This provider vs. median5.3×
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 | 5,947 | $40K | |
| 2019 | 7,840 | $49K | |
| 2020 | 7,598 | $33K | |
| 2021 | 7,247 | $31K | |
| 2022 | 9,154 | $28K | |
| 2023 | 9,295 | $37K | |
| 2024incomplete | 9,409 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 54% | 5,867 | 5,363 | $130K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 6,073 | 5,369 | $31K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 5.1% | 812 | 811 | $12K |
| 92587 | 4.2% | 547 | 546 | $10K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 1,526 | 1,525 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 1,092 | 1,090 | $8K |
| 97802 | 3.1% | 3,706 | 3,700 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 965 | 945 | $5K |
| 90461 | 1.5% | 1,332 | 1,330 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 525 | 525 | $3K |
| 36410 | 1.1% | 2,420 | 2,404 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 187 | 181 | $2K |
52 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 230 | $2K |
| 0072A | <1% | 55 | $2K | |
| 0071A | <1% | 46 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 65 | $2K |
| 91307 | <1% | 106 | $1K | |
| 99173 | <1% | 1,300 | $1K | |
| 90686 | <1% | 2,524 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 77 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 45 | $755.96 |
| 99441 | <1% | 54 | $679.97 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 3,579 | $470.01 |
| 81001 | <1% | 810 | $424.76 | |
| H0049 | Alcohol and/or drug screening | <1% | 420 | $331.20 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 94 | $212.76 |
| 81002 | <1% | 2,118 | $183.05 | |
| 90620 | <1% | 41 | $163.88 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,669 | $101.76 |
| 81000 | <1% | 55 | $56.88 | |
| 90648 | <1% | 145 | $53.56 | |
| G8482 | Influenza immunization administered or previously received | <1% | 2,982 | $48.01 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 19 | $29.00 |
| 90685 | <1% | 130 | $21.86 | |
| 36406 | <1% | 12 | $16.72 | |
| 3008F | <1% | 3,667 | $6.01 | |
| 91300 | <1% | 19 | $0.91 | |
| 99174 | <1% | 1,007 | $0.62 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 825 | $0.01 |
| 90651 | 0% | 168 | $0.00 | |
| 1036F | 0% | 736 | $0.00 | |
| 1000F | 0% | 331 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,040 | $0.00 |
| 90723 | 0% | 25 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 71 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 15 | $0.00 |
| 2001F | 0% | 18 | $0.00 | |
| 0001F | 0% | 13 | $0.00 | |
| 1126F | 0% | 12 | $0.00 | |
| 90670 | 0% | 122 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 416 | $0.00 |
| 3016F | 0% | 788 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 947 | $0.00 |
| 99051 | 0% | 66 | $0.00 | |
| 90734 | 0% | 26 | $0.00 | |
| 3725F | 0% | 966 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 855 | $0.00 |
| 1160F | 0% | 1,265 | $0.00 | |
| 1159F | 0% | 1,265 | $0.00 | |
| 90633 | 0% | 131 | $0.00 | |
| 90649 | 0% | 14 | $0.00 | |
| 90671 | 0% | 25 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 15 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 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 officialMARTE, GRECIA (PHYSICIAN)