Physician
Hampton Pediatrics, PLLC
Hampton Pediatrics, PLLC was paid $2.20M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoHAMPTON PEDIATRICS, PLLC
SOUTHAMPTON, NY 11968
SOUTHAMPTON, NY 11968
33aNPI1598989519assigned 04/12/2007
33bProvider typePediatrics Physician
28Total paid$2.20M
24GClaims45,845
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#153 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 | 3,265 | $141K | |
| 2019 | 5,592 | $217K | |
| 2020 | 5,265 | $237K | |
| 2021 | 7,264 | $389K | |
| 2022 | 8,787 | $461K | |
| 2023 | 8,101 | $397K | |
| 2024incomplete | 7,571 | $358K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 5,666 | 5,077 | $614K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 7,052 | 6,255 | $525K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.4% | 952 | 910 | $140K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 1,391 | 1,391 | $133K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 1,358 | 1,354 | $122K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 1,273 | 1,199 | $105K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.3% | 911 | 910 | $95K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.2% | 5,284 | 5,168 | $92K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.1% | 615 | 574 | $69K |
| 87428 | 2.7% | 992 | 921 | $60K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 1.5% | 2,815 | 2,435 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 732 | 704 | $30K |
40 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 1,744 | $29K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 755 | $25K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 628 | $25K |
| 90461 | <1% | 1,417 | $20K | |
| 87807 | <1% | 1,424 | $18K | |
| 92587 | <1% | 540 | $17K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,388 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,608 | $8K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 304 | $6K |
| 99051 | <1% | 739 | $4K | |
| 90671 | <1% | 34 | $3K | |
| 96127 | <1% | 669 | $3K | |
| 0071A | <1% | 56 | $2K | |
| 0002A | <1% | 45 | $2K | |
| 0072A | <1% | 46 | $2K | |
| 0001A | <1% | 49 | $1K | |
| 90677 | <1% | 54 | $1K | |
| 96160 | <1% | 432 | $1K | |
| 90686 | <1% | 1,299 | $852.81 | |
| 81002 | <1% | 291 | $574.08 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 58 | $548.02 |
| 0124A | <1% | 13 | $521.44 | |
| 99188 | <1% | 26 | $365.03 | |
| 90734 | <1% | 51 | $278.94 | |
| 90670 | <1% | 241 | $241.38 | |
| 90688 | <1% | 396 | $236.55 | |
| 99174 | <1% | 400 | $198.71 | |
| 90656 | <1% | 190 | $63.09 | |
| 90698 | <1% | 225 | $41.13 | |
| 91307 | <1% | 18 | $2.02 | |
| 91312 | <1% | 13 | $0.03 | |
| 99000 | <1% | 236 | $0.02 | |
| 91300 | 0% | 63 | $0.00 | |
| 90633 | 0% | 26 | $0.00 | |
| 90715 | 0% | 29 | $0.00 | |
| 96111 | 0% | 79 | $0.00 | |
| 90651 | 0% | 56 | $0.00 | |
| 90619 | 0% | 39 | $0.00 | |
| 90744 | 0% | 54 | $0.00 | |
| 90680 | 0% | 69 | $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 officialPERSHEFF, NADINE (OWNER)