PEDIATRIC G I NUTRITION
NPI: 1710918305
· ROCHESTER, NY 14642
· 2080P0206X
$1.27M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,335 |
$129K |
| 2019 |
1,811 |
$184K |
| 2020 |
1,972 |
$200K |
| 2021 |
2,241 |
$234K |
| 2022 |
1,809 |
$198K |
| 2023 |
2,095 |
$235K |
| 2024 |
708 |
$87K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,828 |
7,711 |
$750K |
| 99204 |
|
2,216 |
2,216 |
$314K |
| 99215 |
Prolong outpt/office vis |
717 |
706 |
$101K |
| 99213 |
|
727 |
721 |
$52K |
| 99205 |
Prolong outpt/office vis |
129 |
129 |
$21K |
| 43239 |
|
97 |
97 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
85 |
27 |
$8K |
| 99232 |
|
94 |
40 |
$6K |
| 91200 |
|
58 |
58 |
$2K |
| 99443 |
|
20 |
20 |
$1K |