Physician
Allentown Pediatric and Adolescent Medicine
Allentown Pediatric and Adolescent Medicine was paid $3.39M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 21% of everything it billed.
33Billing provider infoALLENTOWN PEDIATRIC AND ADOLESCENT MEDICINE
BUFFALO, NY 14202
BUFFALO, NY 14202
33aNPI1598729808assigned 04/13/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$3.39M
24GClaims111,061
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#18 of 161
Median peer was paid$100K
This provider vs. median34×
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 | 13,302 | $394K | |
| 2019 | 16,598 | $478K | |
| 2020 | 16,548 | $360K | |
| 2021 | 18,148 | $503K | |
| 2022 | 17,106 | $511K | |
| 2023 | 16,031 | $551K | |
| 2024incomplete | 13,328 | $591K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 10,441 | 10,427 | $713K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 23,355 | 23,252 | $665K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 13,786 | 13,355 | $570K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 7,679 | 7,641 | $480K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 6,935 | 6,931 | $471K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 2,501 | 2,495 | $185K |
| 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 | 4.7% | 2,595 | 2,547 | $159K |
| 99441 | 2.3% | 5,120 | 5,030 | $77K | |
| 83655 | <1% | 2,044 | 2,041 | $24K | |
| 99381 | <1% | 122 | 122 | $9K | |
| 96160 | <1% | 5,730 | 5,724 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 410 | 406 | $5K |
42 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 597 | $4K |
| 0071A | <1% | 88 | $3K | |
| 85018 | <1% | 2,323 | $3K | |
| 0072A | <1% | 74 | $3K | |
| 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% | 533 | $3K |
| 87428 | <1% | 26 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 399 | $1K |
| 99051 | <1% | 241 | $1K | |
| 90480 | <1% | 24 | $890.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $797.42 |
| 99382 | <1% | 12 | $752.82 | |
| 90686 | <1% | 4,032 | $723.20 | |
| 99442 | <1% | 15 | $436.74 | |
| 0111A | <1% | 16 | $402.84 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $352.00 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | <1% | 44 | $259.56 |
| 99401 | <1% | 15 | $159.06 | |
| 90688 | <1% | 1,270 | $126.86 | |
| 90734 | <1% | 138 | $85.00 | |
| 36416 | <1% | 3,169 | $83.04 | |
| 90656 | <1% | 344 | $44.06 | |
| 94760 | <1% | 99 | $16.79 | |
| 91311 | <1% | 20 | $2.28 | |
| 90671 | <1% | 625 | $0.37 | |
| 90685 | <1% | 347 | $0.24 | |
| 91321 | <1% | 70 | $0.20 | |
| 90697 | <1% | 599 | $0.03 | |
| 90670 | <1% | 4,247 | $0.02 | |
| 99080 | 0% | 2,358 | $0.00 | |
| 90633 | 0% | 952 | $0.00 | |
| 90707 | 0% | 38 | $0.00 | |
| 99499 | 0% | 764 | $0.00 | |
| 90710 | 0% | 83 | $0.00 | |
| 90698 | 0% | 2,784 | $0.00 | |
| 90680 | 0% | 2,398 | $0.00 | |
| 90651 | 0% | 301 | $0.00 | |
| 90744 | 0% | 804 | $0.00 | |
| 90620 | 0% | 48 | $0.00 | |
| 90696 | 0% | 93 | $0.00 | |
| 90619 | 0% | 99 | $0.00 | |
| 91307 | 0% | 147 | $0.00 | |
| 90716 | 0% | 52 | $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 officialEHLENFIELD, DARYL (PRESIDENT)