Physician
Third Ave Pediatric Care P.C.
Third Ave Pediatric Care P.C. was paid $3.49M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoTHIRD AVE PEDIATRIC CARE P.C.
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1649314766assigned 02/20/2007
33bProvider typePediatrics Physician
28Total paid$3.49M
24GClaims112,936
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#94 of 1,983
Median peer was paid$17K
This provider vs. median206×
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 | 9,473 | $317K | |
| 2019 | 12,509 | $405K | |
| 2020 | 14,747 | $457K | |
| 2021 | 15,198 | $468K | |
| 2022 | 18,348 | $600K | |
| 2023 | 21,924 | $665K | |
| 2024incomplete | 20,737 | $583K |
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 | 58% | 35,565 | 29,062 | $2.01M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.5% | 13,405 | 12,449 | $299K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.1% | 2,782 | 2,782 | $215K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 2,891 | 2,888 | $202K |
| 99401 | 4.1% | 8,838 | 8,619 | $144K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 1,443 | 1,436 | $90K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 9,143 | 8,507 | $88K |
| 92551 | 2.2% | 8,999 | 8,994 | $76K | |
| 90461 | 2.1% | 2,420 | 2,311 | $74K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.9% | 3,797 | 3,786 | $65K |
| 97802 | 1.6% | 2,524 | 2,517 | $55K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 749 | 731 | $45K |
42 more codes
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 1,912 | $33K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 1,629 | $31K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 157 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,011 | $12K |
| 90672 | <1% | 1,317 | $7K | |
| 0071A | <1% | 150 | $5K | |
| 90686 | <1% | 3,551 | $5K | |
| 0072A | <1% | 112 | $4K | |
| 99173 | <1% | 5,370 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 130 | $2K |
| 86580 | <1% | 376 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 152 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 399 | $2K |
| 99406 | <1% | 190 | $2K | |
| H0001 | Alcohol and/or drug assessment | <1% | 198 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $1K |
| 90656 | <1% | 290 | $1K | |
| 90660 | <1% | 228 | $924.58 | |
| 99384 | <1% | 15 | $887.13 | |
| 99381 | <1% | 200 | $361.66 | |
| 96127 | <1% | 379 | $334.23 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 40 | $287.00 |
| 99001 | <1% | 423 | $176.76 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $150.93 |
| 90670 | <1% | 244 | $124.95 | |
| 90680 | <1% | 128 | $71.40 | |
| 90698 | <1% | 135 | $53.55 | |
| 96160 | <1% | 35 | $49.12 | |
| 90633 | <1% | 128 | $35.70 | |
| 90744 | <1% | 25 | $29.90 | |
| 90671 | <1% | 200 | $1.45 | |
| 91307 | <1% | 217 | $1.27 | |
| 90619 | <1% | 119 | $0.09 | |
| 90651 | 0% | 354 | $0.00 | |
| 90716 | 0% | 55 | $0.00 | |
| 90620 | 0% | 85 | $0.00 | |
| 90658 | 0% | 70 | $0.00 | |
| 90734 | 0% | 111 | $0.00 | |
| 90685 | 0% | 56 | $0.00 | |
| 90700 | 0% | 77 | $0.00 | |
| 90707 | 0% | 55 | $0.00 | |
| 90715 | 0% | 16 | $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 officialGILIYAR, DINESH (PRESIDENT)