Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEW WINDSOR PEDIATRICS LLC.

NPI: 1912095852 · NEW WINDSOR, NY 12553 · Pediatrics Physician · NPI assigned 10/10/2006

$11.45M
Total Medicaid Paid
270,358
Total Claims
246,673
Beneficiaries
94
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPEDOEM-SHAPIRO, MINOO (OWNER)
NPI Enumeration Date10/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,867 $866K
2019 25,104 $1.02M
2020 35,792 $1.43M
2021 43,548 $1.97M
2022 51,749 $2.40M
2023 52,575 $2.18M
2024 39,723 $1.58M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 35,948 31,781 $3.77M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,731 28,593 $2.28M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5,108 4,932 $636K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,189 5,184 $446K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,155 5,153 $438K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,892 3,890 $365K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,074 3,851 $324K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 21,566 10,690 $312K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 8,190 7,814 $302K
90460 Immunization administration through 18 years of age via any route, first or only component 13,391 13,300 $298K
99441 5,505 5,160 $259K
92587 9,986 9,976 $229K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,855 4,643 $219K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,645 1,641 $181K
99051 10,033 9,586 $167K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,325 3,171 $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 1,505 1,455 $111K
99188 6,480 6,472 $90K
99442 1,117 998 $86K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,907 1,792 $83K
99215 Prolong outpt/office vis 491 453 $66K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,870 12,332 $53K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 429 429 $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 1,504 1,454 $37K
V2020 Frames, purchases 824 819 $37K
96116 619 618 $35K
85018 16,869 16,824 $33K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 911 648 $33K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,567 3,536 $32K
83655 2,410 2,396 $29K
92015 Determination of refractive state 2,103 2,100 $28K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 195 195 $20K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 206 200 $19K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 983 981 $19K
G0444 Annual depression screening, 5 to 15 minutes 1,881 1,881 $19K
81000 4,809 4,704 $18K
87807 1,413 1,362 $18K
H0049 Alcohol and/or drug screening 1,383 1,383 $18K
0001A 441 437 $17K
90677 192 192 $15K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 234 233 $15K
0002A 371 371 $14K
99173 1,241 1,240 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 614 598 $12K
92551 3,169 3,165 $11K
86580 1,233 1,193 $11K
87634 372 363 $9K
94060 148 139 $7K
81002 3,362 3,295 $7K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 328 327 $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 289 289 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 44 44 $4K
90651 343 343 $4K
90619 58 58 $4K
36415 Collection of venous blood by venipuncture 1,189 1,187 $3K
90658 1,859 1,854 $3K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 298 298 $3K
90461 201 201 $3K
99383 27 27 $3K
87806 136 136 $3K
90621 154 154 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 12 12 $2K
87631 77 77 $2K
92567 138 134 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
99000 8,456 7,875 $2K
90670 916 915 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $1K
99381 12 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 68 66 $797.47
90734 250 250 $793.82
93000 44 43 $644.37
81025 307 292 $640.40
69210 15 15 $616.43
90707 291 291 $539.46
90715 219 219 $507.64
96127 474 474 $494.47
90716 378 378 $444.94
96160 484 484 $418.42
90698 1,158 1,157 $413.31
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13 13 $281.32
96161 147 123 $277.54
90744 270 268 $241.66
90656 47 47 $220.88
94664 29 29 $195.23
V2784 Lens, polycarbonate or equal, any index, per lens 407 201 $174.02
90633 375 375 $63.57
90657 199 199 $21.00
94760 38 38 $2.90
99072 81 81 $0.00
90713 25 25 $0.00
90700 25 25 $0.00
36416 3,606 3,589 $0.00
90680 400 400 $0.00