Physician
Village Pediatric Group PLLC
Village Pediatric Group PLLC was paid $409K by Medicaid between Oct 2019 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoVILLAGE PEDIATRIC GROUP PLLC
TUCKAHOE, NY 10707
TUCKAHOE, NY 10707
33aNPI1861626210assigned 05/13/2009
33bProvider typePediatrics Physician
28Total paid$409K
24GClaims13,056
24DCodes billed25
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#455 of 1,983
Median peer was paid$17K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2019 | 556 | $18K | |
| 2020 | 2,018 | $37K | |
| 2021 | 2,811 | $80K | |
| 2022 | 2,958 | $98K | |
| 2023 | 2,670 | $95K | |
| 2024incomplete | 2,043 | $81K |
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 | 45% | 2,541 | 2,343 | $185K |
| 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 | 18% | 739 | 692 | $73K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 2,097 | 2,084 | $49K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 404 | 403 | $35K |
| 92587 | 4.1% | 914 | 914 | $17K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 169 | 167 | $15K |
| 96160 | 1.3% | 2,326 | 1,658 | $5K | |
| 99177 | 1.2% | 1,249 | 1,247 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 281 | 246 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 40 | 40 | $4K |
| 96127 | <1% | 859 | 856 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 43 | 41 | $4K |
13 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 66 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $3K |
| 0071A | <1% | 38 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 239 | $912.07 |
| 0072A | <1% | 21 | $835.73 | |
| 36410 | <1% | 28 | $581.62 | |
| 92551 | <1% | 157 | $427.94 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 80 | $42.24 |
| 81003 | <1% | 14 | $28.00 | |
| 99173 | <1% | 79 | $3.26 | |
| 99072 | 0% | 131 | $0.00 | |
| 99000 | 0% | 471 | $0.00 | |
| 90686 | 0% | 12 | $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 officialRIVERA, KAIRA (BILLING MANAGER)
Parent organizationVILLAGE PEDIATRIC GROUP PLLC