Physician
Plattsburgh Pediatrics PC
Plattsburgh Pediatrics PC was paid $3.95M by Medicaid between Jan 2018 and Feb 2023, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoPLATTSBURGH PEDIATRICS PC
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
33aNPI1962566406assigned 12/20/2006
33bProvider typePediatrics Physician
28Total paid$3.95M
24GClaims94,410
24DCodes billed59
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#83 of 1,983
Median peer was paid$17K
This provider vs. median233×
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 | 14,124 | $552K | |
| 2019 | 16,643 | $663K | |
| 2020 | 20,083 | $784K | |
| 2021 | 23,401 | $906K | |
| 2022 | 18,433 | $954K | |
| 2023 | 1,726 | $92K |
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 | 36% | 18,477 | 16,845 | $1.41M |
| 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 | 18% | 6,147 | 5,901 | $695K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 4,170 | 4,166 | $415K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 3,400 | 3,394 | $334K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.7% | 10,409 | 10,298 | $304K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.3% | 2,611 | 2,609 | $287K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 2,776 | 2,681 | $252K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 815 | 693 | $72K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 590 | 581 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 678 | 664 | $29K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,169 | 1,135 | $20K |
| 83655 | <1% | 998 | 995 | $13K |
47 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 561 | $12K |
| 81002 | <1% | 5,740 | $12K | |
| 96127 | <1% | 2,462 | $11K | |
| 0071A | <1% | 255 | $10K | |
| 0072A | <1% | 240 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 745 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,716 | $7K |
| 90837 | Psychotherapy session, about an hour | <1% | 30 | $4K |
| 99381 | <1% | 27 | $3K | |
| 85018 | <1% | 1,050 | $2K | |
| 81000 | <1% | 520 | $2K | |
| 0003A | <1% | 52 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 79 | $2K |
| 90686 | <1% | 3,603 | $1K | |
| 90619 | <1% | 243 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 24 | $1K |
| 0001A | <1% | 26 | $1K | |
| 90461 | <1% | 272 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 18 | $984.72 |
| 90697 | <1% | 230 | $978.74 | |
| 0002A | <1% | 21 | $809.80 | |
| 90651 | <1% | 796 | $701.15 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 74 | $670.00 |
| 90620 | <1% | 42 | $450.00 | |
| 90473 | <1% | 55 | $333.50 | |
| 99173 | <1% | 2,350 | $294.82 | |
| 94760 | <1% | 8,198 | $212.04 | |
| 90715 | <1% | 404 | $194.82 | |
| 90734 | <1% | 466 | $139.42 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $118.44 |
| 90672 | <1% | 306 | $55.08 | |
| 90685 | <1% | 357 | $45.27 | |
| 90716 | <1% | 249 | $0.01 | |
| 90670 | 0% | 2,099 | $0.00 | |
| 90633 | 0% | 1,173 | $0.00 | |
| 94150 | 0% | 986 | $0.00 | |
| 90710 | 0% | 336 | $0.00 | |
| 90707 | 0% | 242 | $0.00 | |
| 91300 | 0% | 206 | $0.00 | |
| 91311 | 0% | 14 | $0.00 | |
| 90698 | 0% | 1,781 | $0.00 | |
| 91307 | 0% | 474 | $0.00 | |
| 90744 | 0% | 857 | $0.00 | |
| 90680 | 0% | 1,444 | $0.00 | |
| 36416 | 0% | 1,052 | $0.00 | |
| 90696 | 0% | 268 | $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 officialCHASKEY, HAROLD (CEO MD)