Memorial Pediatric Group
Memorial Pediatric Group was paid $73K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 60% of everything it billed.
NEW YORK, NY 10021
Next to other Pediatric Hematology & Oncology Physician providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 88 | $3K | |
| 2019 | 45 | $2K | |
| 2020 | 12 | $486.84 | |
| 2021 | 180 | $12K | |
| 2022 | 15 | $2K | |
| 2023 | 234 | $25K | |
| 2024incomplete | 286 | $30K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 60% | 428 | 311 | $44K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 27% | 199 | 64 | $20K |
| 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 | 12% | 221 | 174 | $9K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 12 | 12 | $581.72 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| MSKCC Radiology Group | New York, NY | $571K |
| Memorial Hematology Lymphoma Group | New York, NY | $102K |
| Memorial Pathology Group | New York, NY | $101K |
| Memorial Nuclear Medicine Group | New York, NY | $54K |
| MSKCC Surgery Group | New York, NY | $47K |
| Memorial Neurology Group | New York, NY | $37K |
| Memorial Developmental Chemo Group | New York, NY | $21K |
| Memorial Endocrine Group | New York, NY | $8K |
| Memorial Anesthesiology Group | New York, NY | $5K |
| Memorial Urgent Care Group | New York, NY | $4K |
| Memorial Psychiatry Group | New York, NY | $3K |
| MSK Nassau | Uniondale, NY | $2K |
| Memorial Clinical Physiology Group | New York, NY | $1K |
| MSKCC Regional Network | Commack, NY | $948.09 |
| MSK Harrison | West Harrison, NY | $848.09 |
| Memorial Pulmonary Function Group | New York, NY | $578.39 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.