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

Total Care Pediatric, PLLC

Total Care Pediatric, PLLC was paid $773K by Medicaid between Oct 2021 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoTOTAL CARE PEDIATRIC, PLLC
FLUSHING, NY 11355
33aNPI1619508900assigned 01/27/2020
33bProvider typePediatrics Physician
28Total paid$773K
24GClaims16,085
24DCodes billed34
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#324 of 1,983
Median peer was paid$17K
This provider vs. median46×

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$20K$40K$60K2018201920202021202220232024
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
2021123$9K
20222,791$167K
20235,156$268K
2024incomplete8,015$329K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 71% 5,539 4,683 $547K
90460 Immunization administration through 18 years of age via any route, first or only component 6.9% 1,701 1,677 $54K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.1% 317 313 $32K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.3% 235 235 $25K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.4% 171 171 $18K
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) 2.0% 1,095 937 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.9% 123 123 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.5% 825 818 $12K
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 1.1% 64 63 $9K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.1% 71 71 $9K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 205 200 $7K
90461 <1% 355 353 $7K
22 more codes
99051 <1% 1,279 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 286 $4K
G0444 Annual depression screening, 5 to 15 minutes <1% 130 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 171 $2K
99442 <1% 23 $2K
36415 Collection of venous blood by venipuncture <1% 896 $2K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 86 $1K
96160 <1% 328 $1K
96127 <1% 323 $834.38
90686 <1% 282 $816.43
99173 <1% 798 $762.03
90677 <1% 12 $288.67
90656 <1% 211 $162.36
G2011 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes <1% 43 $101.16
99177 <1% 47 $16.35
90670 0% 40 $0.00
3725F 0% 79 $0.00
90707 0% 13 $0.00
90716 0% 13 $0.00
3008F 0% 299 $0.00
90698 0% 12 $0.00
90680 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 officialWONG, CHAK (MEMBER)