Physician
Twelve Corners Pediatrics, LLP
Twelve Corners Pediatrics, LLP was paid $963K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoTWELVE CORNERS PEDIATRICS, LLP
ROCHESTER, NY 14618
ROCHESTER, NY 14618
33aNPI1568553279assigned 09/27/2006
33bProvider typePediatrics Physician
28Total paid$963K
24GClaims19,046
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#293 of 1,983
Median peer was paid$17K
This provider vs. median57×
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 | 340 | $19K | |
| 2019 | 1,378 | $63K | |
| 2020 | 2,946 | $120K | |
| 2021 | 4,073 | $202K | |
| 2022 | 3,818 | $205K | |
| 2023 | 3,638 | $203K | |
| 2024incomplete | 2,853 | $151K |
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 | 55% | 7,746 | 7,177 | $525K |
| 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 | 14% | 1,384 | 1,324 | $137K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 3,779 | 3,764 | $109K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 8.3% | 532 | 516 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 338 | 338 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 197 | 197 | $19K |
| 92551 | 1.9% | 2,303 | 2,303 | $18K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.4% | 500 | 484 | $14K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 124 | 122 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 51 | 51 | $5K |
| 0071A | <1% | 121 | 121 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 202 | 202 | $3K |
13 more codes
| 0072A | <1% | 65 | $3K | |
| 99173 | <1% | 1,187 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 127 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $958.53 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 51 | $800.44 |
| 96127 | <1% | 94 | $789.39 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 38 | $451.50 |
| 90480 | <1% | 12 | $376.35 | |
| H0049 | Alcohol and/or drug screening | <1% | 12 | $363.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $340.26 |
| 90686 | <1% | 131 | $75.23 | |
| 90674 | <1% | 13 | $32.28 | |
| 90661 | 0% | 15 | $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 officialFRELINGER, BARBARA (SINIOR PARTNER)