Physician
Pediatric Medical World PC
Pediatric Medical World PC was paid $2.05M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoPEDIATRIC MEDICAL WORLD PC
YONKERS, NY 10710
YONKERS, NY 10710
33aNPI1952615528assigned 08/05/2010
33bProvider typePediatrics Physician
28Total paid$2.05M
24GClaims59,015
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#168 of 1,983
Median peer was paid$17K
This provider vs. median121×
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 | 3,295 | $126K | |
| 2019 | 5,232 | $162K | |
| 2020 | 7,182 | $195K | |
| 2021 | 11,678 | $374K | |
| 2022 | 12,761 | $451K | |
| 2023 | 9,845 | $409K | |
| 2024incomplete | 9,022 | $335K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 11,426 | 9,922 | $844K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 3,373 | 3,296 | $268K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,558 | 2,557 | $234K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.4% | 7,651 | 7,497 | $132K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 1,333 | 1,332 | $120K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.8% | 2,792 | 2,680 | $118K |
| 92587 | 3.5% | 2,512 | 2,510 | $71K | |
| 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 | 3.3% | 587 | 556 | $67K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 455 | 455 | $44K |
| 90461 | 1.9% | 2,935 | 2,914 | $38K | |
| 99460 | 1.7% | 444 | 442 | $35K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 373 | 369 | $23K |
46 more codes
| 90677 | <1% | 192 | $13K | |
| 99173 | <1% | 2,968 | $9K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 174 | $6K |
| 99050 | <1% | 926 | $5K | |
| 36406 | <1% | 287 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,270 | $2K |
| 90671 | <1% | 135 | $2K | |
| 96160 | <1% | 781 | $2K | |
| 83655 | <1% | 155 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 97 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 216 | $1K |
| 90670 | <1% | 1,589 | $1K | |
| 0002A | <1% | 31 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 133 | $765.33 |
| 0001A | <1% | 20 | $727.41 | |
| 90686 | <1% | 1,787 | $727.00 | |
| 96127 | <1% | 154 | $648.65 | |
| 0003A | <1% | 17 | $633.63 | |
| 99072 | <1% | 1,868 | $490.00 | |
| 0071A | <1% | 13 | $360.84 | |
| 85018 | <1% | 132 | $266.72 | |
| 90698 | <1% | 663 | $242.44 | |
| 90716 | <1% | 156 | $229.90 | |
| 97802 | <1% | 47 | $216.30 | |
| 90680 | <1% | 1,274 | $171.29 | |
| 90633 | <1% | 754 | $109.50 | |
| 90656 | <1% | 250 | $89.40 | |
| 90649 | <1% | 52 | $89.22 | |
| 90723 | <1% | 607 | $75.69 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 42 | $70.00 |
| 99000 | <1% | 3,391 | $58.50 | |
| 90674 | <1% | 27 | $33.98 | |
| 91307 | <1% | 15 | $30.01 | |
| 90647 | <1% | 612 | $22.16 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,060 | $0.00 |
| 90620 | 0% | 14 | $0.00 | |
| 36416 | 0% | 53 | $0.00 | |
| 3008F | 0% | 193 | $0.00 | |
| 90651 | 0% | 15 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 90707 | 0% | 143 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90685 | 0% | 153 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 30 | $0.00 |
| 90648 | 0% | 29 | $0.00 | |
| 91300 | 0% | 25 | $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 officialSUNKU, SARIKA GUPTA (OWNER)