SOUTHERN TIER PEDIATRICS PRACTICE, P.C.
NPI: 1710902200
· JAMESTOWN, NY 14701
· 2080A0000X
$3.67M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
11,067 |
$518K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
19,332 |
17,355 |
$1.23M |
| 99214 |
|
12,704 |
11,604 |
$1.21M |
| 99392 |
|
3,686 |
3,678 |
$308K |
| 99393 |
|
3,059 |
3,057 |
$254K |
| 99391 |
|
2,627 |
2,600 |
$206K |
| 99394 |
|
1,505 |
1,502 |
$136K |
| 99215 |
Prolong outpt/office vis |
800 |
766 |
$109K |
| 90472 |
|
4,473 |
4,457 |
$54K |
| 90471 |
|
9,241 |
9,189 |
$46K |
| D1206 |
|
1,130 |
1,129 |
$34K |
| 99442 |
|
328 |
328 |
$17K |
| 87804 |
|
1,177 |
582 |
$16K |
| 96127 |
|
3,162 |
3,154 |
$12K |
| 99188 |
|
1,168 |
1,168 |
$12K |
| 87880 |
|
2,438 |
2,400 |
$8K |
| 96110 |
|
1,718 |
1,639 |
$5K |
| 96160 |
|
2,002 |
2,001 |
$4K |
| 36406 |
|
340 |
338 |
$3K |
| 87807 |
|
96 |
96 |
$1K |
| 83655 |
|
64 |
64 |
$938.33 |
| 0072A |
|
30 |
30 |
$931.50 |
| 99051 |
|
169 |
169 |
$806.25 |
| 0002A |
|
22 |
22 |
$715.44 |
| 0001A |
|
23 |
23 |
$687.15 |
| 97802 |
|
2,275 |
2,262 |
$591.54 |
| 0071A |
|
15 |
15 |
$465.75 |
| 99422 |
|
19 |
19 |
$427.50 |
| 96161 |
|
585 |
532 |
$344.47 |
| G0447 |
Behavior counsel obesity 15m |
177 |
177 |
$196.47 |
| 90686 |
|
1,986 |
1,971 |
$84.08 |
| 99000 |
|
261 |
256 |
$60.00 |
| 99173 |
|
26 |
26 |
$7.72 |
| 91300 |
|
44 |
44 |
$0.04 |
| 90671 |
|
124 |
124 |
$0.01 |
| 90744 |
|
190 |
189 |
$0.00 |
| 90680 |
|
837 |
830 |
$0.00 |
| 90716 |
|
176 |
176 |
$0.00 |
| 90698 |
|
134 |
132 |
$0.00 |
| 91307 |
|
56 |
53 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 90648 |
|
1,144 |
1,134 |
$0.00 |
| 90633 |
|
250 |
248 |
$0.00 |
| 90700 |
|
1,843 |
1,825 |
$0.00 |
| 90670 |
|
1,467 |
1,454 |
$0.00 |
| 90713 |
|
710 |
709 |
$0.00 |
| 99080 |
|
468 |
464 |
$0.00 |
| 90707 |
|
163 |
163 |
$0.00 |
| 90685 |
|
76 |
76 |
$0.00 |