Physician
Pediatric Urgent Care of Rochester
Pediatric Urgent Care of Rochester was paid $503K by Medicaid between Mar 2019 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoPEDIATRIC URGENT CARE OF ROCHESTER
FAIRPORT, NY 14450
FAIRPORT, NY 14450
33aNPI1700359726assigned 01/03/2019
33bProvider typePediatrics Physician
28Total paid$503K
24GClaims7,904
24DCodes billed11
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#418 of 1,983
Median peer was paid$17K
This provider vs. median30×
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 | |
|---|---|---|---|
| 2019 | 201 | $15K | |
| 2020 | 293 | $23K | |
| 2021 | 880 | $78K | |
| 2022 | 677 | $51K | |
| 2023 | 3,102 | $168K | |
| 2024incomplete | 2,751 | $167K |
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 | 53% | 3,995 | 3,925 | $266K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 1,262 | 1,261 | $105K |
| 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 | 15% | 812 | 802 | $77K |
| 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 | 6.3% | 263 | 263 | $32K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.9% | 201 | 201 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 367 | 235 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 879 | 874 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 54 | 53 | $944.07 |
| 87807 | <1% | 44 | 42 | $710.45 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | 12 | $694.70 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | 15 | $145.71 |
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 officialGRISANTI, PETER (CFO)
Parent organizationPEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK
| Provider | Location | Paid |
|---|---|---|
| Pediatric and Adolescent Urgent Care of Western New York | Williamsville, NY | $5.69M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.