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

Peter Agho, MD, PC

Peter Agho, MD, PC was paid $229K by Medicaid between Jan 2018 and Nov 2019, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoPETER AGHO, MD, PC
BRONX, NY 10462
33aNPI1639407828assigned 11/26/2009
28Total paid$229K
24GClaims5,476
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers

Next to other Primary Care Clinic/Center providers in New York

Rank by total paid#111 of 242
Median peer was paid$172K
This provider vs. median1.3×

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$10K$20K2018201920202021202220232024
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
20183,154$132K
20192,322$97K
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 67% 1,682 1,500 $154K
94010 18% 1,499 1,383 $40K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.4% 170 159 $12K
92588 2.2% 173 173 $5K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2.1% 15 15 $5K
95923 1.0% 27 27 $2K
36415 Collection of venous blood by venipuncture <1% 1,068 1,048 $2K
93000 <1% 99 98 $2K
92567 <1% 163 163 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 29 29 $774.63
95921 <1% 15 15 $773.51
90674 <1% 35 35 $748.96
7 more codes
99407 <1% 62 $682.98
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 29 $347.19
99058 <1% 295 $270.15
90686 <1% 41 $246.43
94760 <1% 14 $8.86
1125F 0% 46 $0.00
95922 0% 14 $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 officialAGHO, PETER (PRESIDENT)