Physician
MMC Pediatric Critical Care FPP
MMC Pediatric Critical Care FPP was paid $768K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99472, Subsequent inpatient pediatric critical care, per day, 2-5 years — 70% of everything it billed.
33Billing provider infoMMC PEDIATRIC CRITICAL CARE FPP
BROOKLYN, NY 11219
BROOKLYN, NY 11219
33aNPI1740204114assigned 07/27/2006
33bProvider typePediatric Critical Care Medicine Physician
28Total paid$768K
24GClaims2,050
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Critical Care Medicine Physician providers in New York
Rank by total paid#1 of 8
Median peer was paid$3K
This provider vs. median277×
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 | 204 | $62K | |
| 2019 | 560 | $218K | |
| 2020 | 246 | $86K | |
| 2021 | 651 | $235K | |
| 2022 | 95 | $43K | |
| 2023 | 237 | $106K | |
| 2024incomplete | 57 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 70% | 1,581 | 719 | $537K |
| 99471 | 27% | 316 | 308 | $207K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.8% | 108 | 50 | $21K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 45 | 44 | $3K |
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 officialSHELOV, STEVEN (CHAIRMAN, DEPARTMENT OF PEDIATRICS)
| Provider | Location | Paid |
|---|---|---|
| MMC Pediatrics Faculty Practice | Brooklyn, NY | $3.80M |
| Maimonides Nursery FPP | Brooklyn, NY | $2.37M |
| MMC Neonatology FPP | Brooklyn, NY | $2.19M |
| MMC Pediatric Hematology Oncology | Brooklyn, NY | $778K |
| MMC Endocrine Associates | Brooklyn, NY | $349K |
| MMC Pediatric Neurology FPP | Brooklyn, NY | $94K |
| MMC Pediatric Ambulatory Care | Brooklyn, NY | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.