Physician
Park Avenue Pediatrics, P.C.
Park Avenue Pediatrics, P.C. was paid $729K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 46% of everything it billed.
33Billing provider infoPARK AVENUE PEDIATRICS, P.C.
SPRING VALLEY, NY 10977
SPRING VALLEY, NY 10977
33aNPI1699969543assigned 09/04/2007
33bProvider typePediatrics Physician
28Total paid$729K
24GClaims23,518
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#341 of 1,983
Median peer was paid$17K
This provider vs. median43×
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 | 1,315 | $39K | |
| 2019 | 4,840 | $192K | |
| 2020 | 8,041 | $188K | |
| 2021 | 3,779 | $125K | |
| 2022 | 3,073 | $125K | |
| 2023 | 1,792 | $50K | |
| 2024incomplete | 678 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 46% | 9,538 | 3,218 | $337K |
| 99305 | 13% | 1,587 | 1,313 | $91K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,872 | 1,550 | $88K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 6.4% | 620 | 551 | $46K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.0% | 642 | 369 | $37K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 560 | 560 | $29K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 455 | 453 | $21K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 2.1% | 620 | 551 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 97 | 96 | $8K |
| 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 | <1% | 94 | 86 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 212 | 212 | $6K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 385 | 363 | $5K |
25 more codes
| 51798 | <1% | 725 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 822 | $5K |
| 99307 | <1% | 214 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 650 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 217 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 288 | $2K |
| 99442 | <1% | 62 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 43 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 44 | $2K |
| 87070 | <1% | 192 | $1K | |
| 99304 | <1% | 34 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 223 | $1K |
| 87184 | <1% | 192 | $1K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 12 | $396.00 |
| 94760 | <1% | 2,643 | $163.57 | |
| 99201 | <1% | 49 | $158.30 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 39 | $79.23 |
| 81000 | <1% | 18 | $66.58 | |
| 90686 | <1% | 93 | $62.03 | |
| 99050 | <1% | 20 | $57.60 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 51 | $56.59 |
| 36415 | Collection of venous blood by venipuncture | <1% | 42 | $3.00 |
| 90461 | 0% | 105 | $0.00 | |
| 99080 | 0% | 46 | $0.00 | |
| 36416 | 0% | 12 | $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 officialKURTZ, SETH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Crown Heights Medical, P.C. | Monsey, NY | $56.63M |
| QHC Upstate Medical, P.C. | Monsey, NY | $16.63M |
| KJ Medical Practice PC | Monroe, NY | $7.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.