Physician
Pediatric & Adolescent Medical Assoc PC
Pediatric & Adolescent Medical Assoc PC was paid $863K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoPEDIATRIC & ADOLESCENT MEDICAL ASSOC PC
ROME, NY 13440
ROME, NY 13440
33aNPI1629169834assigned 09/27/2006
33bProvider typePediatrics Physician
28Total paid$863K
24GClaims38,807
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#309 of 1,983
Median peer was paid$17K
This provider vs. median51×
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 | 6,096 | $202K | |
| 2019 | 6,484 | $190K | |
| 2020 | 7,112 | $116K | |
| 2021 | 5,870 | $100K | |
| 2022 | 3,113 | $97K | |
| 2023 | 5,823 | $94K | |
| 2024incomplete | 4,309 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 6,165 | 5,801 | $230K |
| 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 | 19% | 3,177 | 3,035 | $160K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 8,137 | 8,088 | $139K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 2,942 | 2,941 | $84K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 2,663 | 2,663 | $76K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.5% | 975 | 923 | $56K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 2,314 | 2,240 | $54K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.0% | 1,589 | 1,588 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,855 | 1,807 | $8K |
| 87081 | <1% | 898 | 882 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 606 | 606 | $4K |
| 99443 | <1% | 276 | 260 | $2K |
28 more codes
| 92551 | <1% | 205 | $1K | |
| 99381 | <1% | 12 | $356.28 | |
| 83655 | <1% | 68 | $286.99 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33 | $257.58 |
| 99442 | <1% | 228 | $251.49 | |
| 96160 | <1% | 760 | $178.84 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $162.90 |
| 99441 | <1% | 30 | $90.96 | |
| 85018 | <1% | 79 | $54.68 | |
| 96161 | <1% | 163 | $8.58 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 12 | $3.96 |
| 90619 | <1% | 188 | $0.42 | |
| 90670 | 0% | 930 | $0.00 | |
| 90633 | 0% | 238 | $0.00 | |
| 99173 | 0% | 146 | $0.00 | |
| 99072 | 0% | 314 | $0.00 | |
| 90734 | 0% | 90 | $0.00 | |
| 90715 | 0% | 54 | $0.00 | |
| 90710 | 0% | 15 | $0.00 | |
| 90698 | 0% | 870 | $0.00 | |
| 90651 | 0% | 69 | $0.00 | |
| 90686 | 0% | 1,964 | $0.00 | |
| 90680 | 0% | 397 | $0.00 | |
| 90744 | 0% | 114 | $0.00 | |
| A4616 | Tubing (oxygen), per foot | 0% | 12 | $0.00 |
| 36416 | 0% | 27 | $0.00 | |
| 90677 | 0% | 51 | $0.00 | |
| 90656 | 0% | 129 | $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 officialHARDISH, DIANE (BUSINESS MANAGER)