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

Gates Pediatrics PC

Gates Pediatrics PC was paid $159K by Medicaid between Jan 2018 and Nov 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoGATES PEDIATRICS PC
BROOKLYN, NY 11237
33aNPI1912169392assigned 06/27/2008
28Total paid$159K
24GClaims75,631
24DCodes billed58
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New York

Rank by total paid#76 of 161
Median peer was paid$100K
This provider vs. median1.6×

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$5.0K$10K2018201920202021202220232024
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
20185,698$31K
201911,562$23K
20209,340$5K
20219,794$18K
20229,942$8K
202314,979$41K
2024incomplete14,316$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 7,172 6,387 $51K
90460 Immunization administration through 18 years of age via any route, first or only component 29% 5,555 5,479 $45K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.2% 3,089 3,028 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.7% 1,980 1,948 $14K
99401 4.6% 8,090 7,906 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.4% 2,091 2,031 $7K
92587 4.0% 3,713 3,713 $6K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2.9% 1,142 1,138 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 929 889 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1.0% 1,368 1,366 $2K
90658 <1% 75 75 $890.25
99173 <1% 2,398 2,397 $782.92
46 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 180 $713.91
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 277 $637.55
86580 <1% 491 $473.48
36415 Collection of venous blood by venipuncture <1% 4,867 $443.06
90688 <1% 2,644 $298.64
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 108 $207.36
H0001 Alcohol and/or drug assessment <1% 816 $207.03
90461 <1% 920 $101.96
96127 <1% 579 $82.51
85018 <1% 79 $81.96
A4930 Gloves, sterile, per pair <1% 1,714 $58.52
G9820 Documentation of a chlamydia screening test with proper follow-up <1% 540 $10.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 712 $10.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 7,021 $10.00
A4206 Syringe with needle, sterile, 1 cc or less, each <1% 276 $2.85
A4258 Spring-powered device for lancet, each <1% 41 $2.00
3016F 0% 343 $0.00
90648 0% 66 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 591 $0.00
90633 0% 107 $0.00
A6413 Adhesive bandage, first-aid type, any size, each 0% 424 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 62 $0.00
3725F 0% 738 $0.00
90734 0% 74 $0.00
90670 0% 92 $0.00
1160F 0% 240 $0.00
90710 0% 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 17 $0.00
90715 0% 13 $0.00
2001F 0% 1,519 $0.00
2010F 0% 2,115 $0.00
1036F 0% 721 $0.00
99000 0% 674 $0.00
87110 0% 16 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 2,143 $0.00
3008F 0% 2,466 $0.00
2000F 0% 1,362 $0.00
97802 0% 2,077 $0.00
36416 0% 28 $0.00
90651 0% 71 $0.00
1000F 0% 592 $0.00
90686 0% 110 $0.00
99441 0% 15 $0.00
90723 0% 12 $0.00
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 0% 51 $0.00
90680 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 officialSOTO, MARIA (MD)