Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

New Windsor Pediatrics LLC.

New Windsor Pediatrics LLC. was paid $11.45M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoNEW WINDSOR PEDIATRICS LLC.
NEW WINDSOR, NY 12553
33aNPI1912095852assigned 10/10/2006
33bProvider typePediatrics Physician
28Total paid$11.45M
24GClaims270,358
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#18 of 1,983
Median peer was paid$17K
This provider vs. median675×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201821,867$866K
201925,104$1.02M
202035,792$1.43M
202143,548$1.97M
202251,749$2.40M
202352,575$2.18M
2024incomplete39,723$1.58M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 33% 35,948 31,781 $3.77M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 32,731 28,593 $2.28M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5.6% 5,108 4,932 $636K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.9% 5,189 5,184 $446K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.8% 5,155 5,153 $438K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.2% 3,892 3,890 $365K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.8% 4,074 3,851 $324K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.7% 21,566 10,690 $312K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2.6% 8,190 7,814 $302K
90460 Immunization administration through 18 years of age via any route, first or only component 2.6% 13,391 13,300 $298K
99441 2.3% 5,505 5,160 $259K
92587 2.0% 9,986 9,976 $229K
82 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.9% 4,855 $219K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.6% 1,645 $181K
99051 1.5% 10,033 $167K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,325 $113K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 1,505 $111K
99188 <1% 6,480 $90K
99442 <1% 1,117 $86K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,907 $83K
99215 Doctor's office visit, returning patient (complex) <1% 491 $66K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12,870 $53K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 429 $42K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 1,504 $37K
V2020 Frames, purchases <1% 824 $37K
96116 <1% 619 $35K
85018 <1% 16,869 $33K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 911 $33K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 3,567 $32K
83655 <1% 2,410 $29K
92015 Determination of refractive state <1% 2,103 $28K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 195 $20K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 206 $19K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 983 $19K
G0444 Annual depression screening, 5 to 15 minutes <1% 1,881 $19K
81000 <1% 4,809 $18K
87807 <1% 1,413 $18K
H0049 Alcohol and/or drug screening <1% 1,383 $18K
0001A <1% 441 $17K
90677 <1% 192 $15K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 234 $15K
0002A <1% 371 $14K
99173 <1% 1,241 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 614 $12K
92551 <1% 3,169 $11K
86580 <1% 1,233 $11K
87634 <1% 372 $9K
94060 <1% 148 $7K
81002 <1% 3,362 $7K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes <1% 328 $6K
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 <1% 289 $5K
99203 Doctor's office visit, new patient (routine) <1% 44 $4K
90651 <1% 343 $4K
90619 <1% 58 $4K
36415 Collection of venous blood by venipuncture <1% 1,189 $3K
90658 <1% 1,859 $3K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 298 $3K
90461 <1% 201 $3K
99383 <1% 27 $3K
87806 <1% 136 $3K
90621 <1% 154 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 12 $2K
87631 <1% 77 $2K
92567 <1% 138 $2K
99204 Doctor's office visit, new patient (more involved) <1% 13 $2K
99000 <1% 8,456 $2K
90670 <1% 916 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 12 $1K
99381 <1% 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 68 $797.47
90734 <1% 250 $793.82
93000 <1% 44 $644.37
81025 <1% 307 $640.40
69210 <1% 15 $616.43
90707 <1% 291 $539.46
90715 <1% 219 $507.64
96127 <1% 474 $494.47
90716 <1% 378 $444.94
96160 <1% 484 $418.42
90698 <1% 1,158 $413.31
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 13 $281.32
96161 <1% 147 $277.54
90744 <1% 270 $241.66
90656 <1% 47 $220.88
94664 <1% 29 $195.23
V2784 Lens, polycarbonate or equal, any index, per lens <1% 407 $174.02
90633 <1% 375 $63.57
90657 <1% 199 $21.00
94760 <1% 38 $2.90
99072 0% 81 $0.00
90713 0% 25 $0.00
90700 0% 25 $0.00
36416 0% 3,606 $0.00
90680 0% 400 $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 officialPEDOEM-SHAPIRO, MINOO (OWNER)