Physician
Springville Pediatrics, LLP
Springville Pediatrics, LLP was paid $2.20M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoSPRINGVILLE PEDIATRICS, LLP
SPRINGVILLE, NY 14141
SPRINGVILLE, NY 14141
33aNPI1598722159assigned 04/27/2006
33bProvider typePediatrics Physician
28Total paid$2.20M
24GClaims53,840
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#154 of 1,983
Median peer was paid$17K
This provider vs. median130×
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 | 4,332 | $180K | |
| 2019 | 6,866 | $273K | |
| 2020 | 7,490 | $249K | |
| 2021 | 8,021 | $291K | |
| 2022 | 8,855 | $347K | |
| 2023 | 9,642 | $434K | |
| 2024incomplete | 8,634 | $425K |
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 | 41% | 15,028 | 14,519 | $892K |
| 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% | 3,665 | 3,584 | $338K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 11,212 | 11,193 | $249K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 2,343 | 2,342 | $191K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 2,255 | 2,254 | $178K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 3,170 | 3,102 | $119K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 1,058 | 1,011 | $80K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 869 | 869 | $73K |
| 98966 | <1% | 1,537 | 1,491 | $15K | |
| 96127 | <1% | 2,374 | 2,313 | $12K | |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 99 | 96 | $10K |
| 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% | 1,193 | 1,154 | $9K |
23 more codes
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 76 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 694 | $7K |
| 99051 | <1% | 806 | $5K | |
| 98967 | <1% | 237 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 554 | $4K |
| 90677 | <1% | 41 | $2K | |
| 99408 | <1% | 220 | $913.48 | |
| 94760 | <1% | 2,197 | $763.16 | |
| 90656 | <1% | 142 | $623.51 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 39 | $513.13 |
| 99442 | <1% | 13 | $366.88 | |
| 83655 | <1% | 30 | $324.87 | |
| 90461 | <1% | 579 | $128.76 | |
| 85018 | <1% | 31 | $60.35 | |
| 90686 | <1% | 2,544 | $58.23 | |
| 90698 | 0% | 224 | $0.00 | |
| 90680 | 0% | 24 | $0.00 | |
| 90651 | 0% | 41 | $0.00 | |
| 36416 | 0% | 17 | $0.00 | |
| 90670 | 0% | 183 | $0.00 | |
| 90685 | 0% | 131 | $0.00 | |
| 90633 | 0% | 201 | $0.00 | |
| 90734 | 0% | 13 | $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 officialCANAVAN, JAMES (PRESIDENT)