Physician
Hispaniola Pediatrics PC
Hispaniola Pediatrics PC was paid $26K by Medicaid between Jan 2018 and Oct 2024, across 27 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 50% of everything it billed.
33Billing provider infoHISPANIOLA PEDIATRICS PC
CORONA, NY 11368
CORONA, NY 11368
33aNPI1770863953assigned 08/19/2011
33bProvider typePediatrics Physician
28Total paid$26K
24GClaims5,630
24DCodes billed27
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#929 of 1,983
Median peer was paid$17K
This provider vs. median1.5×
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 | 491 | $5K | |
| 2019 | 752 | $5K | |
| 2020 | 1,857 | $8K | |
| 2021 | 1,389 | $4K | |
| 2022 | 522 | $2K | |
| 2023 | 465 | $1K | |
| 2024incomplete | 154 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 50% | 928 | 910 | $13K |
| 92587 | 36% | 733 | 733 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 106 | 102 | $1K |
| 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 | 3.9% | 599 | 599 | $1K |
| 99173 | 2.1% | 576 | 576 | $550.00 | |
| 99406 | 1.3% | 59 | 59 | $331.94 | |
| 99401 | <1% | 59 | 59 | $246.54 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | 26 | $161.22 |
| 36415 | Collection of venous blood by venipuncture | <1% | 453 | 453 | $99.60 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 93 | 88 | $57.92 |
| 90686 | <1% | 580 | 578 | $57.09 | |
| H0001 | Alcohol and/or drug assessment | <1% | 70 | 70 | $0.07 |
15 more codes
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 48 | $0.04 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 523 | $0.00 |
| 3008F | 0% | 258 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 46 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 58 | $0.00 |
| 1000F | 0% | 26 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 40 | $0.00 |
| 90674 | 0% | 12 | $0.00 | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 58 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 58 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 42 | $0.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 57 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 70 | $0.00 |
| 3725F | 0% | 26 | $0.00 | |
| 3016F | 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 officialMENDEZ, JOSE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Dermatology Consultants PA | Miramar, FL | $554K |
| Jose M Mendez MD PC | Jackson Heights, NY | $95K |
| Dermatology Consultants of Asheville PLLC | Woodfin, NC | $34K |
| Jose Mendez MD PA | Orlando, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.