Clinic
Sherman Pediatrics Care PLLC
Sherman Pediatrics Care PLLC was paid $3K by Medicaid between Jan 2018 and Sep 2019, across 22 billing codes. Its largest line is 90656, — 45% of everything it billed.
33Billing provider infoSHERMAN PEDIATRICS CARE PLLC
SUNNYSIDE, NY 11104
SUNNYSIDE, NY 11104
33aNPI1578772752assigned 05/22/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$3K
24GClaims8,164
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#214 of 242
Median peer was paid$172K
This provider vs. median0.0×
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 | 5,215 | $3K | |
| 2019 | 2,949 | $286.78 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90656 | 45% | 183 | 182 | $1K | |
| 90660 | 21% | 34 | 34 | $686.46 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12% | 218 | 216 | $374.58 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 284 | 265 | $200.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 86 | 72 | $186.72 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 1,920 | 1,684 | $124.82 |
| 99401 | 2.9% | 1,099 | 1,006 | $93.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 441 | 439 | $63.77 |
| H0001 | Alcohol and/or drug assessment | <1% | 190 | 188 | $30.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 911 | 902 | $17.10 |
| 3016F | 0% | 91 | 91 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 121 | 119 | $0.00 |
10 more codes
| 83655 | 0% | 13 | $0.00 | |
| 99173 | 0% | 39 | $0.00 | |
| 3725F | 0% | 63 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 63 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 47 | $0.00 |
| 3008F | 0% | 2,092 | $0.00 | |
| 81000 | 0% | 78 | $0.00 | |
| 1036F | 0% | 63 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 51 | $0.00 |
| 1000F | 0% | 77 | $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 officialVILLEGAS, EMILIO (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Pediatrics for Queens & Kings | Jackson Heights, NY | $444K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.