Medicaid Provider Spending

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

GATES PEDIATRICS PC

NPI: 1912169392 · BROOKLYN, NY 11237 · Pediatric Adolescent Medicine Physician · NPI assigned 06/27/2008

$159K
Total Medicaid Paid
75,631
Total Claims
73,328
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSOTO, MARIA (MD)
NPI Enumeration Date06/27/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,698 $31K
2019 11,562 $23K
2020 9,340 $5K
2021 9,794 $18K
2022 9,942 $8K
2023 14,979 $41K
2024 14,316 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,172 6,387 $51K
90460 Immunization administration through 18 years of age via any route, first or only component 5,555 5,479 $45K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,089 3,028 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,980 1,948 $14K
99401 8,090 7,906 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,091 2,031 $7K
92587 3,713 3,713 $6K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,142 1,138 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 929 889 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,368 1,366 $2K
90658 75 75 $890.25
99173 2,398 2,397 $782.92
96110 Developmental screening, with scoring and documentation, per standardized instrument 180 178 $713.91
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 277 276 $637.55
86580 491 489 $473.48
36415 Collection of venous blood by venipuncture 4,867 4,866 $443.06
90688 2,644 2,644 $298.64
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 108 105 $207.36
H0001 Alcohol and/or drug assessment 816 814 $207.03
90461 920 917 $101.96
96127 579 579 $82.51
85018 79 79 $81.96
A4930 Gloves, sterile, per pair 1,714 1,668 $58.52
G9820 Documentation of a chlamydia screening test with proper follow-up 540 539 $10.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 712 710 $10.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,021 6,220 $10.00
A4206 Syringe with needle, sterile, 1 cc or less, each 276 274 $2.85
A4258 Spring-powered device for lancet, each 41 41 $2.00
3016F 343 341 $0.00
90648 66 66 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 591 585 $0.00
90633 107 107 $0.00
A6413 Adhesive bandage, first-aid type, any size, each 424 420 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 62 61 $0.00
3725F 738 736 $0.00
90734 74 74 $0.00
90670 92 91 $0.00
1160F 240 206 $0.00
90710 12 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 17 17 $0.00
90715 13 13 $0.00
2001F 1,519 1,508 $0.00
2010F 2,115 2,099 $0.00
1036F 721 719 $0.00
99000 674 669 $0.00
87110 16 16 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,143 2,132 $0.00
3008F 2,466 2,437 $0.00
2000F 1,362 1,351 $0.00
97802 2,077 2,025 $0.00
36416 28 28 $0.00
90651 71 71 $0.00
1000F 592 590 $0.00
90686 110 110 $0.00
99441 15 12 $0.00
90723 12 12 $0.00
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 51 51 $0.00
90680 13 13 $0.00