Peterson, Tracy

Peterson, Tracy was paid $348.47 by Medicaid between Sep 2021 and Sep 2021, across 1 billing code. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 100% of everything it billed.

33Billing provider infoPETERSON, TRACY
ISLANDIA, NY 11749

33aNPI1669563136assigned 09/27/2006

33bProvider typePhysician Assistant

28Total paid$348.47

24GClaims13

24DCodes billed1

24AFirst – last monthSep 2021 – Sep 2021

Compared with peers

Next to other Physician Assistant providers in New York

Rank by total paid#207 of 263

Median peer was paid$3K

This provider vs. median0.1×

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
2021	13	$348.47

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	100%	13	13	$348.47

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.