Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEALTHY CHILDREN PEDIATRIC MEDICINE,P.C.

NPI: 1558626515 · BRONX, NY 10452 · Specialist · NPI assigned 07/05/2012

$240K
Total Medicaid Paid
56,490
Total Claims
54,533
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARTE, GRECIA (PHYSICIAN)
NPI Enumeration Date07/05/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 9,409 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 5,867 5,363 $130K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,073 5,369 $31K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 812 811 $12K
92587 547 546 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,526 1,525 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,092 1,090 $8K
97802 3,706 3,700 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 965 945 $5K
90461 1,332 1,330 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 525 525 $3K
36410 2,420 2,404 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 187 181 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 230 222 $2K
0072A 55 55 $2K
0071A 46 46 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65 59 $2K
91307 106 102 $1K
99173 1,300 1,300 $1K
90686 2,524 2,522 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 77 75 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 45 42 $755.96
99441 54 48 $679.97
S9451 Exercise classes, non-physician provider, per session 3,579 3,576 $470.01
81001 810 806 $424.76
H0049 Alcohol and/or drug screening 420 419 $331.20
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 94 94 $212.76
81002 2,118 2,115 $183.05
90620 41 40 $163.88
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,669 1,568 $101.76
81000 55 55 $56.88
90648 145 145 $53.56
G8482 Influenza immunization administered or previously received 2,982 2,717 $48.01
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 19 18 $29.00
90685 130 130 $21.86
36406 12 12 $16.72
3008F 3,667 3,660 $6.01
91300 19 17 $0.91
99174 1,007 1,007 $0.62
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 825 825 $0.01
90651 168 168 $0.00
1036F 736 736 $0.00
1000F 331 331 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,040 1,040 $0.00
90723 25 25 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 71 63 $0.00
36415 Collection of venous blood by venipuncture 15 15 $0.00
2001F 18 18 $0.00
0001F 13 13 $0.00
1126F 12 12 $0.00
90670 122 122 $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) 416 393 $0.00
3016F 788 788 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 947 946 $0.00
99051 66 66 $0.00
90734 26 26 $0.00
3725F 966 966 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 855 838 $0.00
1160F 1,265 1,152 $0.00
1159F 1,265 1,152 $0.00
90633 131 131 $0.00
90649 14 14 $0.00
90671 25 25 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 15 15 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $0.00