Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Southern Tier Pediatrics PC

Southern Tier Pediatrics PC was paid $195K by Medicaid between Jan 2018 and Mar 2018, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoSOUTHERN TIER PEDIATRICS PC
HORSEHEADS, NY 14845
33aNPI1598794885assigned 07/01/2006
33bProvider typePediatrics Physician
28Total paid$195K
24GClaims4,688
24DCodes billed24
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#580 of 1,983
Median peer was paid$17K
This provider vs. median12×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20184,688$195K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 39% 899 866 $76K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 1,109 1,068 $62K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.8% 224 224 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.7% 168 168 $13K
90460 Immunization administration through 18 years of age via any route, first or only component 4.6% 606 606 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.7% 84 84 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.2% 26 26 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 373 369 $2K
99051 <1% 249 246 $1K
87081 <1% 207 203 $1K
92551 <1% 52 52 $364.10
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 24 24 $250.20
12 more codes
96127 <1% 56 $240.99
83655 <1% 16 $240.00
81002 <1% 63 $136.48
87088 <1% 12 $112.69
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 45 $86.40
94760 <1% 94 $70.98
90670 0% 126 $0.00
90685 0% 28 $0.00
90633 0% 14 $0.00
90680 0% 28 $0.00
90686 0% 103 $0.00
90698 0% 82 $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 officialBUTLER, BETTY (ADMINISTRATOR)
Parent organizationSOUTHERN TIER PEDIATRICS PC