Physician
The Childrens Medical Group
The Childrens Medical Group was paid $28.66M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoTHE CHILDRENS MEDICAL GROUP
POUGHKEEPSIE, NY 12603
POUGHKEEPSIE, NY 12603
33aNPI1841224508assigned 07/10/2006
33bProvider typePediatrics Physician
28Total paid$28.66M
24GClaims696,672
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#4 of 1,983
Median peer was paid$17K
This provider vs. median1,689×
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 | 59,767 | $2.42M | |
| 2019 | 93,024 | $3.34M | |
| 2020 | 104,179 | $3.69M | |
| 2021 | 132,682 | $5.26M | |
| 2022 | 134,774 | $5.86M | |
| 2023 | 109,239 | $4.77M | |
| 2024incomplete | 63,007 | $3.32M |
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 | 29% | 83,529 | 80,415 | $8.33M |
| 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 | 29% | 55,473 | 53,671 | $8.17M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 18,139 | 17,375 | $2.14M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 15,059 | 15,050 | $1.90M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 14,030 | 14,029 | $1.75M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 10,104 | 10,102 | $1.38M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.6% | 28,680 | 28,080 | $1.32M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.9% | 50,209 | 50,125 | $1.11M |
| 99051 | 2.4% | 42,665 | 41,961 | $700K | |
| 36416 | 1.3% | 40,609 | 40,369 | $362K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 18,598 | 9,753 | $279K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 5,399 | 5,325 | $155K |
75 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 40,630 | $132K |
| 96127 | <1% | 21,345 | $97K | |
| 92551 | <1% | 33,844 | $89K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,249 | $76K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 337 | $71K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,349 | $64K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14,192 | $58K |
| 90461 | <1% | 5,083 | $57K | |
| 87081 | <1% | 10,485 | $53K | |
| 83655 | <1% | 3,828 | $51K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 928 | $41K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 319 | $41K |
| 82465 | <1% | 4,937 | $23K | |
| 0072A | <1% | 502 | $22K | |
| 0071A | <1% | 496 | $22K | |
| 99177 | <1% | 6,110 | $21K | |
| 99381 | <1% | 160 | $19K | |
| 0002A | <1% | 350 | $15K | |
| 99460 | <1% | 134 | $14K | |
| 0001A | <1% | 323 | $14K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 145 | $12K |
| 90686 | <1% | 7,450 | $10K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 780 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,382 | $9K |
| 90697 | <1% | 457 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 701 | $7K |
| 90480 | <1% | 176 | $6K | |
| 69210 | <1% | 52 | $3K | |
| 0053A | <1% | 48 | $2K | |
| 81002 | <1% | 735 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 100 | $1K |
| 99462 | <1% | 26 | $1K | |
| 0124A | <1% | 29 | $1K | |
| 0081A | <1% | 27 | $1K | |
| 0074A | <1% | 24 | $1K | |
| 0082A | <1% | 17 | $803.66 | |
| 0003A | <1% | 16 | $640.00 | |
| 0154A | <1% | 15 | $600.00 | |
| 87420 | <1% | 53 | $429.83 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 31 | $355.35 |
| 90651 | <1% | 40 | $197.93 | |
| 90656 | <1% | 500 | $194.12 | |
| 99188 | <1% | 12 | $191.90 | |
| 94760 | <1% | 50,998 | $187.40 | |
| 86308 | <1% | 38 | $181.64 | |
| 86580 | <1% | 13 | $147.55 | |
| 94664 | <1% | 36 | $138.77 | |
| 90473 | <1% | 16 | $120.00 | |
| 90723 | <1% | 425 | $75.32 | |
| 90648 | <1% | 896 | $75.01 | |
| 99173 | <1% | 35,173 | $52.80 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 11,756 | $29.00 |
| 82948 | <1% | 14 | $28.28 | |
| 90670 | <1% | 1,027 | $25.11 | |
| 90734 | <1% | 27 | $25.10 | |
| 90633 | <1% | 167 | $24.00 | |
| 91300 | 0% | 1,443 | $0.00 | |
| 90700 | 0% | 67 | $0.00 | |
| 91308 | 0% | 51 | $0.00 | |
| 3078F | 0% | 32 | $0.00 | |
| 90707 | 0% | 78 | $0.00 | |
| 91312 | 0% | 13 | $0.00 | |
| 91320 | 0% | 17 | $0.00 | |
| 99000 | 0% | 41,758 | $0.00 | |
| 91307 | 0% | 1,617 | $0.00 | |
| 90716 | 0% | 92 | $0.00 | |
| 90680 | 0% | 340 | $0.00 | |
| 3008F | 0% | 2,307 | $0.00 | |
| 91318 | 0% | 18 | $0.00 | |
| 94761 | 0% | 127 | $0.00 | |
| 91305 | 0% | 114 | $0.00 | |
| 3074F | 0% | 29 | $0.00 | |
| 90677 | 0% | 45 | $0.00 | |
| 91319 | 0% | 14 | $0.00 | |
| 91315 | 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 officialMAYHEW, KIMBERLY (CHIEF EXECUTIVE OFFICER)