Physician
Southern Tier Pediatrics Practice, P.C.
Southern Tier Pediatrics Practice, P.C. was paid $3.67M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoSOUTHERN TIER PEDIATRICS PRACTICE, P.C.
JAMESTOWN, NY 14701
JAMESTOWN, NY 14701
33aNPI1710902200assigned 07/13/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$3.67M
24GClaims84,345
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#15 of 161
Median peer was paid$100K
This provider vs. median37×
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 | 9,322 | $357K | |
| 2019 | 12,041 | $431K | |
| 2020 | 13,008 | $447K | |
| 2021 | 14,007 | $725K | |
| 2022 | 12,810 | $636K | |
| 2023 | 12,090 | $555K | |
| 2024incomplete | 11,067 | $518K |
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 | 33% | 19,332 | 17,355 | $1.23M |
| 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 | 33% | 12,704 | 11,604 | $1.21M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.4% | 3,686 | 3,678 | $308K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 3,059 | 3,057 | $254K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 2,627 | 2,600 | $206K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 1,505 | 1,502 | $136K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 800 | 766 | $109K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 4,473 | 4,457 | $54K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 9,241 | 9,189 | $46K |
| D1206 | Topical application of fluoride varnish | <1% | 1,130 | 1,129 | $34K |
| 99442 | <1% | 328 | 328 | $17K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,177 | 582 | $16K |
36 more codes
| 96127 | <1% | 3,162 | $12K | |
| 99188 | <1% | 1,168 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,438 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,718 | $5K |
| 96160 | <1% | 2,002 | $4K | |
| 36406 | <1% | 340 | $3K | |
| 87807 | <1% | 96 | $1K | |
| 83655 | <1% | 64 | $938.33 | |
| 0072A | <1% | 30 | $931.50 | |
| 99051 | <1% | 169 | $806.25 | |
| 0002A | <1% | 22 | $715.44 | |
| 0001A | <1% | 23 | $687.15 | |
| 97802 | <1% | 2,275 | $591.54 | |
| 0071A | <1% | 15 | $465.75 | |
| 99422 | <1% | 19 | $427.50 | |
| 96161 | <1% | 585 | $344.47 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 177 | $196.47 |
| 90686 | <1% | 1,986 | $84.08 | |
| 99000 | <1% | 261 | $60.00 | |
| 99173 | <1% | 26 | $7.72 | |
| 91300 | <1% | 44 | $0.04 | |
| 90671 | <1% | 124 | $0.01 | |
| 90744 | 0% | 190 | $0.00 | |
| 90680 | 0% | 837 | $0.00 | |
| 90716 | 0% | 176 | $0.00 | |
| 90698 | 0% | 134 | $0.00 | |
| 91307 | 0% | 56 | $0.00 | |
| 90619 | 0% | 25 | $0.00 | |
| 90648 | 0% | 1,144 | $0.00 | |
| 90633 | 0% | 250 | $0.00 | |
| 90700 | 0% | 1,843 | $0.00 | |
| 90670 | 0% | 1,467 | $0.00 | |
| 90713 | 0% | 710 | $0.00 | |
| 99080 | 0% | 468 | $0.00 | |
| 90707 | 0% | 163 | $0.00 | |
| 90685 | 0% | 76 | $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 officialKHAN, TARIQ (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Complete & Comprehensive Kidney Care PLLC | Oklahoma City, OK | $210K |
| Premier Gastroenterology, P. C. | Southaven, MS | $30K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.