Physician
609 Fulton Pediatrics PC
609 Fulton Pediatrics PC was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 16% of everything it billed.
33Billing provider info609 FULTON PEDIATRICS PC
HEMPSTEAD, NY 11550
HEMPSTEAD, NY 11550
33aNPI1922393321assigned 06/14/2011
33bProvider typePediatrics Physician
28Total paid$1.50M
24GClaims224,386
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#216 of 1,983
Median peer was paid$17K
This provider vs. median88×
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 | |
|---|---|---|---|
| 2018 | 26,374 | $588K | |
| 2019 | 28,676 | $385K | |
| 2020 | 32,184 | $151K | |
| 2021 | 34,698 | $153K | |
| 2022 | 17,306 | $44K | |
| 2023 | 31,643 | $48K | |
| 2024incomplete | 53,505 | $127K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 10,377 | 10,335 | $236K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 18,528 | 17,588 | $228K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 9,195 | 9,164 | $185K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 14,459 | 13,989 | $174K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 6,673 | 6,562 | $143K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 6,000 | 5,927 | $130K |
| 92552 | 6.0% | 10,217 | 10,214 | $90K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 5.7% | 17,876 | 17,859 | $85K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 3,094 | 2,902 | $50K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 5,164 | 5,135 | $40K |
| 97802 | 2.1% | 14,052 | 13,962 | $32K | |
| 92551 | 1.9% | 4,404 | 4,404 | $28K |
59 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 2,222 | $17K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 7,834 | $14K |
| 86580 | <1% | 4,448 | $11K | |
| 0071A | <1% | 259 | $8K | |
| 0072A | <1% | 229 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,125 | $6K |
| 0003A | <1% | 114 | $4K | |
| 0002A | <1% | 90 | $3K | |
| 0001A | <1% | 87 | $3K | |
| 99496 | <1% | 214 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 801 | $163.14 |
| 87070 | <1% | 29 | $80.88 | |
| 90633 | 0% | 1,252 | $0.00 | |
| 90461 | 0% | 1,269 | $0.00 | |
| 91300 | 0% | 372 | $0.00 | |
| 90710 | 0% | 704 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 9,060 | $0.00 |
| 3725F | 0% | 1,697 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 7,493 | $0.00 |
| 3078F | 0% | 3,037 | $0.00 | |
| 90734 | 0% | 1,631 | $0.00 | |
| 90670 | 0% | 1,315 | $0.00 | |
| 3016F | 0% | 1,555 | $0.00 | |
| 90681 | 0% | 181 | $0.00 | |
| 90685 | 0% | 1,173 | $0.00 | |
| 90715 | 0% | 485 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 564 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 17 | $0.00 |
| 4004F | 0% | 28 | $0.00 | |
| 81002 | 0% | 12 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 2000F | 0% | 3,568 | $0.00 | |
| 3008F | 0% | 3,830 | $0.00 | |
| 90620 | 0% | 1,820 | $0.00 | |
| 3074F | 0% | 3,180 | $0.00 | |
| 90686 | 0% | 8,407 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 7,512 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 7,084 | $0.00 |
| 90698 | 0% | 451 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 3,911 | $0.00 |
| 2001F | 0% | 2,048 | $0.00 | |
| 90677 | 0% | 407 | $0.00 | |
| 4293F | 0% | 1,556 | $0.00 | |
| 90651 | 0% | 2,049 | $0.00 | |
| 1000F | 0% | 1,478 | $0.00 | |
| 90697 | 0% | 387 | $0.00 | |
| 1036F | 0% | 1,284 | $0.00 | |
| 91307 | 0% | 535 | $0.00 | |
| 90744 | 0% | 117 | $0.00 | |
| 2010F | 0% | 2,154 | $0.00 | |
| 2015F | 0% | 38 | $0.00 | |
| 90656 | 0% | 1,670 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,342 | $0.00 |
| 90696 | 0% | 70 | $0.00 | |
| 1038F | 0% | 38 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| 1005F | 0% | 38 | $0.00 | |
| 2016F | 0% | 38 | $0.00 | |
| 99381 | 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 officialKAPADIA, JATIN (OWNER)