Physician
Pediatric Service Group
Pediatric Service Group was paid $11.01M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoPEDIATRIC SERVICE GROUP
SYRACUSE, NY 13210
SYRACUSE, NY 13210
33aNPI1770539066assigned 05/26/2006
33bProvider typePediatrics Physician
28Total paid$11.01M
24GClaims248,904
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#19 of 1,983
Median peer was paid$17K
This provider vs. median649×
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 | 27,894 | $1.23M | |
| 2019 | 42,979 | $1.65M | |
| 2020 | 36,177 | $1.23M | |
| 2021 | 41,652 | $1.78M | |
| 2022 | 27,958 | $1.71M | |
| 2023 | 41,091 | $1.97M | |
| 2024incomplete | 31,153 | $1.43M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 23% | 22,895 | 22,520 | $2.57M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 48,047 | 47,016 | $2.10M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.4% | 5,031 | 4,920 | $812K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 41,278 | 41,130 | $755K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.6% | 4,807 | 4,780 | $612K |
| 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 | 5.2% | 3,522 | 3,519 | $574K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.4% | 6,769 | 3,900 | $480K |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.0% | 6,092 | 6,057 | $439K |
| 94060 | 3.9% | 9,795 | 9,685 | $434K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 9,059 | 9,044 | $421K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 8,848 | 8,653 | $362K |
| 99205 | Prolong outpt/office vis | 2.4% | 1,260 | 1,260 | $269K |
62 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 6,007 | $234K |
| 92551 | 1.4% | 16,875 | $153K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.3% | 1,201 | $143K |
| 95782 | <1% | 756 | $93K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 828 | $85K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,829 | $80K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,223 | $66K |
| 99223 | Prolong inpt eval add15 m | <1% | 279 | $47K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 223 | $46K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 10,052 | $37K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 274 | $34K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 770 | $29K |
| 90837 | Psychotherapy session, about an hour | <1% | 139 | $20K |
| 99460 | <1% | 203 | $19K | |
| 99221 | <1% | 224 | $19K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 165 | $17K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 80 | $8K |
| 99442 | <1% | 165 | $8K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 43 | $7K |
| 0072A | <1% | 193 | $7K | |
| 99219 | <1% | 43 | $5K | |
| 0071A | <1% | 115 | $4K | |
| 96450 | <1% | 46 | $4K | |
| 90686 | <1% | 10,254 | $2K | |
| 99417 | Prolong home eval add 15m | <1% | 30 | $2K |
| 99218 | <1% | 13 | $1K | |
| 99234 | <1% | 13 | $1K | |
| 0112A | <1% | 37 | $1K | |
| 99173 | <1% | 7,720 | $1K | |
| 90480 | <1% | 69 | $1K | |
| 0111A | <1% | 27 | $977.48 | |
| 94010 | <1% | 33 | $955.51 | |
| 99217 | <1% | 13 | $917.48 | |
| 0002A | <1% | 22 | $550.04 | |
| 94664 | <1% | 28 | $285.73 | |
| 90461 | <1% | 2,377 | $221.12 | |
| 99177 | <1% | 428 | $170.20 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $148.77 |
| 96161 | <1% | 188 | $123.61 | |
| 90698 | <1% | 3,320 | $114.62 | |
| 96127 | <1% | 327 | $113.05 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 13 | $87.75 |
| 90656 | <1% | 574 | $67.78 | |
| 94760 | <1% | 4,342 | $57.20 | |
| 90680 | 0% | 785 | $0.00 | |
| 90744 | 0% | 290 | $0.00 | |
| 90696 | 0% | 85 | $0.00 | |
| 90619 | 0% | 199 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90651 | 0% | 157 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90723 | 0% | 40 | $0.00 | |
| 90670 | 0% | 3,358 | $0.00 | |
| 90685 | 0% | 436 | $0.00 | |
| 90710 | 0% | 87 | $0.00 | |
| 90633 | 0% | 638 | $0.00 | |
| 90671 | 0% | 140 | $0.00 | |
| 90715 | 0% | 212 | $0.00 | |
| 90648 | 0% | 212 | $0.00 | |
| 90734 | 0% | 197 | $0.00 | |
| 90707 | 0% | 38 | $0.00 | |
| 91321 | 0% | 13 | $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 officialWELCH, THOMAS (CHAIRMAN OF DEPARTMENT)
| Provider | Location | Paid |
|---|---|---|
| Southeast Emergency Medical Service, INC | Monticello, AR | $521K |
| Premier Breast Health Institute of Oklahoma LLC | Oklahoma City, OK | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.