Clinic
Concourse Pediatrics
Concourse Pediatrics was paid $251K by Medicaid between Feb 2018 and Nov 2024, across 43 billing codes. Its largest line is 92586, — 20% of everything it billed.
33Billing provider infoCONCOURSE PEDIATRICS
BRONX, NY 10452
BRONX, NY 10452
33aNPI1699200154assigned 04/21/2017
33bProvider typePrimary Care Clinic/Center
28Total paid$251K
24GClaims41,481
24DCodes billed43
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#109 of 242
Median peer was paid$172K
This provider vs. median1.5×
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 | 2,039 | $16K | |
| 2019 | 6,398 | $72K | |
| 2020 | 8,041 | $68K | |
| 2021 | 8,241 | $36K | |
| 2022 | 4,776 | $16K | |
| 2023 | 6,029 | $26K | |
| 2024incomplete | 5,957 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92586 | 20% | 1,367 | 1,366 | $51K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 4,065 | 4,051 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 3,144 | 3,002 | $31K |
| 92650 | 10% | 2,095 | 2,095 | $25K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 1,105 | 1,063 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 1,003 | 1,003 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 833 | 833 | $12K |
| 90658 | 3.9% | 1,899 | 1,899 | $10K | |
| S9470 | Nutritional counseling, dietitian visit | 2.1% | 3,321 | 3,320 | $5K |
| 96127 | 2.0% | 2,575 | 2,574 | $5K | |
| 90660 | 2.0% | 254 | 254 | $5K | |
| 99173 | 1.9% | 2,881 | 2,880 | $5K |
31 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 185 | $4K |
| H0001 | Alcohol and/or drug assessment | 1.6% | 1,018 | $4K |
| 83655 | 1.1% | 399 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,394 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,625 | $1K |
| 0072A | <1% | 26 | $1K | |
| 0003A | <1% | 24 | $960.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 56 | $733.95 |
| 0071A | <1% | 13 | $520.00 | |
| 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) | <1% | 166 | $141.04 |
| 90461 | <1% | 851 | $122.58 | |
| 97802 | <1% | 16 | $59.84 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 1,652 | $35.00 |
| 99408 | 0% | 534 | $0.00 | |
| 3725F | 0% | 814 | $0.00 | |
| 91300 | 0% | 41 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 1,356 | $0.00 |
| 3016F | 0% | 621 | $0.00 | |
| 90734 | 0% | 52 | $0.00 | |
| G9821 | No documentation of a chlamydia screening test with proper follow-up | 0% | 147 | $0.00 |
| 90633 | 0% | 12 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,333 | $0.00 |
| 1036F | 0% | 666 | $0.00 | |
| 3008F | 0% | 1,856 | $0.00 | |
| 1000F | 0% | 657 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 25 | $0.00 |
| 1034F | 0% | 56 | $0.00 | |
| 90656 | 0% | 112 | $0.00 | |
| 90620 | 0% | 92 | $0.00 | |
| 90651 | 0% | 81 | $0.00 | |
| 91307 | 0% | 59 | $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 officialPILARTE, JUAN (PRESIDENT)