Medicare spending analysis for Pediatric Medicine providers
Pediatric Medicine accounts for $516.2M in Medicare payments across 15.4K providers.
The specialty's average markup of 3.2x is below the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $44.3M | 1.3M | 1.5K | — |
| 2015 | $48.2M | 1.3M | 1.5K | +9.0% |
| 2016 | $48.4M | 1.3M | 1.6K | +0.3% |
| 2017 | $45.9M | 1.3M | 1.5K | -5.2% |
| 2018 | $45.5M | 1.3M | 1.5K | -0.8% |
| 2019 | $50.2M | 1.4M | 1.5K | +10.4% |
| 2020 | $39.4M | 1.1M | 1.5K | -21.7% |
| 2021 | $90.1M | 2.6M | 1.7K | +129.0% |
| 2022 | $48.9M | 1.4M | 1.5K | -45.8% |
| 2023 | $55.4M | 1.4M | 1.4K | +13.3% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Justin Gooden | KS | $4.3M | 23.5K | $182.01 |
| 2 | Robert Hostoffer | OH | $3.5M | 79.2K | $44.24 |
| 3 | Li-Min Hu | CA | $2.1M | 30.6K | $68.25 |
| 4 | Philip Newlin | KS | $2.0M | 36.7K | $54.47 |
| 5 | Duncan Fagundus | NC | $1.8M | 65.5K | $27.74 |
| 6 | Robert Dracker | NY | $1.1M | 60.6K | $18.04 |
| 7 | Ahmad Al-Hamda | AL | $986.7K | 23.4K | $42.18 |
| 8 | Robert Jacobson | MN | $975.6K | 13.9K | $70.15 |
| 9 | Kimon Violaris | NY | $853.2K | 57.4K | $14.87 |
| 10 | Mary Jane Pennington | UT | $729.8K | 84.0K | $8.69 |
| 11 | Ali Anari | CA | $671.4K | 6.4K | $105.48 |
| 12 | Michael Nieto | CA | $649.0K | 36.9K | $17.57 |
| 13 | Edan Sarid | CO | $644.7K | 16.0K | $40.36 |
| 14 | Rick Whiles | TN | $634.2K | 96.2K | $6.59 |
| 15 | John Bauer | MO | $628.2K | 19.3K | $32.49 |
| 16 | Erika Gonzalez | TX | $467.9K | 19.3K | $24.31 |
| 17 | Daniel Slater | MA | $421.9K | 7.6K | $55.20 |
| 18 | Hannah Neuhaus | MO | $333.8K | 14.4K | $23.25 |
| 19 | Dahye Hong | DC | $325.4K | 19.0K | $17.16 |
| 20 | Phalyka Oum | FL | $318.6K | 8.8K | $36.39 |
| 21 | Joshua Scott | CA | $290.9K | 9.4K | $30.99 |
| 22 | Behrooz Hakimian | CA | $269.8K | 3.5K | $76.55 |
| 23 | Melissa Hawkins Holt | MD | $254.3K | 10.0K | $25.52 |
| 24 | Kent Johnson | AZ | $241.2K | 5.0K | $48.58 |
| 25 | Immacula Saint-Louis | NC | $233.5K | 6.4K | $36.31 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $7.3M | 90.6K | $80.87 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $3.3M | 56.4K | $59.06 |
| J1556 | Injection, immune globulin (bivigam), 500 mg | $3.0M | 54.4K | $55.56 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $2.5M | 21.3K | $118.09 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $1.5M | 16.4K | $93.96 |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | $1.5M | 1.3K | $1.2K |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | $1.5M | 10.4K | $141.31 |
| J0897 | Injection, denosumab, 1 mg | $1.3M | 72.0K | $18.27 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $1.2M | 10.4K | $119.50 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $1.2M | 19.6K | $61.52 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $1.2M | 15.8K | $74.91 |
| J3380 | Injection, vedolizumab, 1 mg | $1.1M | 62.4K | $17.18 |
| Q4197 | Puraply xt, per square centimeter | $1.1M | 8.2K | $127.68 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $917.1K | 7.9K | $115.99 |
| G0008 | Administration of influenza virus vaccine | $907.6K | 28.4K | $31.93 |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | $809.3K | 24.2K | $33.44 |
| 99285 | Emergency department visit with high level of medical decision making | $799.3K | 5.8K | $137.52 |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | $700.2K | 1.5K | $480.87 |
| Q4158 | Kerecis omega3, per square centimeter | $694.9K | 4.6K | $150.50 |
| 90662 | Influenza vaccine split virus, preservative free | $691.9K | 9.9K | $69.87 |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.