Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Samaritan Pediatric Services, P.C.

Samaritan Pediatric Services, P.C. was paid $5.15M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoSAMARITAN PEDIATRIC SERVICES, P.C.
BABYLON, NY 11702
33aNPI1730308925assigned 04/25/2007
33bProvider typePediatrics Physician
28Total paid$5.15M
24GClaims162,818
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#61 of 1,983
Median peer was paid$17K
This provider vs. median303×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20185,590$342K
20198,150$479K
202010,639$550K
202120,777$788K
202232,458$928K
202343,084$1.14M
2024incomplete42,120$917K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 20,161 19,667 $1.57M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 23,706 23,046 $1.29M
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 22% 9,446 9,437 $1.15M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 7.2% 3,537 3,470 $372K
99205 Prolong outpt/office vis 2.8% 953 951 $143K
95810 Polysomnography; sleep staging with 4 or more additional parameters 2.6% 1,192 1,191 $136K
99244 Office or other outpatient consultation, moderate to high complexity 1.7% 625 621 $88K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1.6% 429 420 $82K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.5% 1,089 1,084 $79K
95782 <1% 347 345 $37K
94010 <1% 5,150 4,954 $37K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 705 705 $34K
38 more codes
95816 <1% 644 $33K
99222 Initial hospital care, per day, moderate complexity <1% 155 $18K
99417 Prolong home eval add 15m <1% 271 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 67 $8K
99243 <1% 86 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 309 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 162 $6K
99443 <1% 65 $5K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 40 $4K
94060 <1% 401 $4K
99442 <1% 67 $3K
00731 <1% 25 $3K
94726 <1% 276 $3K
94729 <1% 298 $2K
99156 <1% 25 $2K
97802 <1% 93 $1K
0072A <1% 35 $1K
0071A <1% 35 $1K
99232 Hospital visit by a doctor, follow-up day <1% 17 $961.08
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 105 $922.94
99238 Hospital discharge day management, 30 minutes or less <1% 13 $915.47
97803 <1% 56 $606.76
95819 <1% 12 $581.84
99441 <1% 21 $522.27
94618 <1% 14 $260.92
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 23 $230.16
94727 <1% 16 $152.83
81000 <1% 133 $130.15
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 13 $107.78
94200 <1% 43 $20.89
91307 <1% 68 $0.01
1160F 0% 17,683 $0.00
1159F 0% 17,683 $0.00
3078F 0% 5,329 $0.00
3074F 0% 5,499 $0.00
3008F 0% 22,329 $0.00
2000F 0% 12,328 $0.00
1101F 0% 11,039 $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 officialCARONIA, CATHERINE (DIRECTOR OF GROUP)