Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC URGENT CARE OF ROCHESTER

NPI: 1700359726 · FAIRPORT, NY 14450 · Pediatrics Physician · NPI assigned 01/03/2019

$503K
Total Medicaid Paid
7,904
Total Claims
7,683
Beneficiaries
11
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRISANTI, PETER (CFO)
Parent OrganizationPEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK
NPI Enumeration Date01/03/2019

Related Entities

Other providers sharing the same authorized official: GRISANTI, PETER

ProviderCityStateTotal Paid
PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK WILLIAMSVILLE NY $5.69M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 201 $15K
2020 293 $23K
2021 880 $78K
2022 677 $51K
2023 3,102 $168K
2024 2,751 $167K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,995 3,925 $266K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,262 1,261 $105K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 812 802 $77K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 263 263 $32K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 201 201 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 367 235 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 879 874 $5K
71046 Radiologic examination, chest; 2 views 54 53 $944.07
87807 44 42 $710.45
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $694.70
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 15 $145.71