Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

QUEENS PEDIATRIC SERVICES, P.C.

NPI: 1598925604 · FAR ROCKAWAY, NY 11691 · Pediatrics Physician · NPI assigned 06/11/2008

$463K
Total Medicaid Paid
18,330
Total Claims
17,642
Beneficiaries
25
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialKHANAM, LUTFA (PRESIDENT)
NPI Enumeration Date06/11/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,536 $142K
2019 4,826 $133K
2020 3,999 $84K
2021 3,810 $77K
2022 954 $23K
2023 205 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,870 2,477 $160K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,025 2,899 $80K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 601 601 $43K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 503 501 $40K
90460 Immunization administration through 18 years of age via any route, first or only component 990 978 $27K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,583 2,539 $26K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,703 1,666 $16K
92081 435 434 $15K
92551 1,626 1,624 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 227 226 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,001 989 $8K
99401 417 416 $6K
90472 Immunization administration, each additional vaccine (list separately) 311 262 $4K
G0444 Annual depression screening, 5 to 15 minutes 458 456 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 26 25 $2K
99406 346 345 $2K
99408 297 296 $2K
87110 246 244 $911.81
90656 584 583 $461.90
99422 17 17 $187.14
86580 13 13 $87.54
87070 15 15 $42.18
83655 12 12 $30.25
99429 12 12 $0.00
90670 12 12 $0.00