Clinic
National Pediatric MD PC
National Pediatric MD PC was paid $1.64M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoNATIONAL PEDIATRIC MD PC
CORONA, NY 11368
CORONA, NY 11368
33aNPI1740492347assigned 05/04/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$1.64M
24GClaims772,624
24DCodes billed123
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#26 of 242
Median peer was paid$172K
This provider vs. median9.6×
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 | 118,164 | $543K | |
| 2019 | 154,037 | $347K | |
| 2020 | 123,396 | $133K | |
| 2021 | 123,794 | $140K | |
| 2022 | 83,351 | $86K | |
| 2023 | 91,161 | $223K | |
| 2024incomplete | 78,721 | $168K |
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 | 38% | 106,779 | 93,323 | $623K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 41,480 | 41,145 | $317K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 15,885 | 15,815 | $114K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 13,926 | 13,830 | $114K |
| 99441 | 5.3% | 15,372 | 13,815 | $86K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 10,891 | 10,766 | $82K |
| 99401 | 3.9% | 41,709 | 41,052 | $63K | |
| 92587 | 2.0% | 15,215 | 15,190 | $33K | |
| 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 | 1.9% | 2,391 | 2,287 | $30K |
| 99442 | 1.7% | 2,075 | 1,986 | $28K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 1,946 | 1,934 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,514 | 3,474 | $15K |
111 more codes
| 85018 | <1% | 18,024 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,880 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,442 | $13K |
| 90461 | <1% | 10,826 | $10K | |
| 99173 | <1% | 17,388 | $7K | |
| 99381 | <1% | 475 | $6K | |
| H0001 | Alcohol and/or drug assessment | <1% | 15,641 | $5K |
| 0003A | <1% | 107 | $4K | |
| 99406 | <1% | 877 | $3K | |
| 86580 | <1% | 920 | $3K | |
| 0001A | <1% | 113 | $3K | |
| 96160 | <1% | 1,358 | $3K | |
| 90686 | <1% | 9,763 | $3K | |
| 81002 | <1% | 14,008 | $2K | |
| 90651 | <1% | 3,939 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 22,905 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 823 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 173 | $2K |
| 90619 | <1% | 893 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 313 | $1K |
| 90633 | <1% | 1,809 | $1K | |
| 90715 | <1% | 1,081 | $1K | |
| 90710 | <1% | 1,247 | $1K | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 2,286 | $1K |
| 0081A | <1% | 25 | $1K | |
| 90621 | <1% | 246 | $957.18 | |
| 96127 | <1% | 9,649 | $784.81 | |
| 36416 | <1% | 13,013 | $661.66 | |
| 90680 | <1% | 931 | $621.90 | |
| 99383 | <1% | 40 | $609.35 | |
| 0002A | <1% | 67 | $600.00 | |
| 0071A | <1% | 16 | $600.00 | |
| 90656 | <1% | 467 | $590.00 | |
| 90620 | <1% | 1,146 | $582.05 | |
| 0072A | <1% | 14 | $560.00 | |
| A4930 | Gloves, sterile, per pair | <1% | 19,365 | $526.05 |
| 90670 | <1% | 1,944 | $325.00 | |
| 90698 | <1% | 105 | $321.30 | |
| 90734 | <1% | 2,009 | $310.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 527 | $307.98 |
| 90688 | <1% | 1,568 | $283.74 | |
| 99000 | <1% | 15,792 | $248.62 | |
| 99429 | <1% | 550 | $233.75 | |
| 87110 | <1% | 5,574 | $211.85 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 97 | $172.40 |
| 90677 | <1% | 180 | $140.00 | |
| 90716 | <1% | 53 | $100.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 30,354 | $87.72 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 291 | $71.80 |
| 90723 | <1% | 279 | $65.00 | |
| 87486 | <1% | 358 | $64.40 | |
| 90648 | <1% | 513 | $55.00 | |
| 90744 | <1% | 13 | $31.47 | |
| 90674 | <1% | 622 | $30.77 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 267 | $18.02 |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 653 | $16.68 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 309 | $12.55 |
| 99496 | <1% | 32 | $10.00 | |
| 3074F | <1% | 1,122 | $10.00 | |
| 3078F | <1% | 1,103 | $7.50 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 12,388 | $7.13 |
| 97802 | <1% | 15,866 | $4.07 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 11,312 | $2.92 |
| 86769 | <1% | 173 | $1.15 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,022 | $0.92 |
| 83655 | <1% | 1,370 | $0.57 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 85 | $0.32 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 476 | $0.30 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 29,689 | $0.15 |
| 91307 | <1% | 16 | $0.15 | |
| G0008 | Administration of influenza virus vaccine | <1% | 645 | $0.05 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 1,300 | $0.04 |
| 3725F | 0% | 9,177 | $0.00 | |
| 3016F | 0% | 8,434 | $0.00 | |
| 1159F | 0% | 2,258 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,324 | $0.00 |
| 90685 | 0% | 421 | $0.00 | |
| 3210F | 0% | 1,369 | $0.00 | |
| 90672 | 0% | 644 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 778 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 899 | $0.00 |
| 99446 | 0% | 159 | $0.00 | |
| 0073A | 0% | 61 | $0.00 | |
| 91300 | 0% | 72 | $0.00 | |
| 3085F | 0% | 14 | $0.00 | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 0% | 351 | $0.00 |
| 90671 | 0% | 212 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 18 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 18 | $0.00 |
| 90473 | 0% | 35 | $0.00 | |
| 1000F | 0% | 8,666 | $0.00 | |
| 1036F | 0% | 8,445 | $0.00 | |
| 3008F | 0% | 71,722 | $0.00 | |
| 2010F | 0% | 42,818 | $0.00 | |
| 1220F | 0% | 3,502 | $0.00 | |
| 1038F | 0% | 686 | $0.00 | |
| 1005F | 0% | 2,291 | $0.00 | |
| 3351F | 0% | 2,117 | $0.00 | |
| 4037F | 0% | 4,593 | $0.00 | |
| 2016F | 0% | 2,276 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,321 | $0.00 |
| G8711 | Prescribed antibiotic on or within 3 days after the episode date | 0% | 1,971 | $0.00 |
| 90697 | 0% | 45 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,099 | $0.00 |
| 4015F | 0% | 731 | $0.00 | |
| 1030F | 0% | 4,556 | $0.00 | |
| 90696 | 0% | 268 | $0.00 | |
| 99443 | 0% | 74 | $0.00 | |
| 2001F | 0% | 14 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 49 | $0.00 |
| 99495 | 0% | 26 | $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 officialFLORIMON DE LA ROSA, HECTOR (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Sop Medical PC | Corona, NY | $399K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.