Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROSPECT PEDIATRICS PA

NPI: 1023431871 · BELLEVILLE, NJ 07109 · Pediatrics Physician · NPI assigned 01/30/2014

$3.24M
Total Medicaid Paid
81,763
Total Claims
77,254
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOKOH, FIDELIS (EXECUTIVE DIRECTOR OPERATIONS)
NPI Enumeration Date01/30/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,865 $291K
2019 7,577 $256K
2020 10,575 $382K
2021 11,447 $518K
2022 17,804 $707K
2023 16,203 $656K
2024 10,292 $432K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,767 16,532 $1.18M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,431 4,346 $382K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,058 2,996 $288K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,728 2,687 $255K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,288 2,231 $196K
90460 Immunization administration through 18 years of age via any route, first or only component 7,145 6,929 $184K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,647 1,609 $177K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,800 1,729 $71K
99188 3,206 3,131 $57K
90461 2,978 2,911 $55K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,466 3,412 $48K
97802 1,587 1,578 $41K
36410 2,174 2,139 $40K
90472 Immunization administration, each additional vaccine (list separately) 1,737 1,720 $28K
92587 1,022 1,016 $26K
3008F 1,287 1,166 $24K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,999 1,965 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,723 1,653 $20K
36406 1,049 1,020 $18K
99381 166 158 $17K
90651 617 529 $15K
83655 1,560 1,526 $12K
36415 Collection of venous blood by venipuncture 1,213 1,182 $11K
92552 537 527 $8K
90734 505 443 $8K
90686 2,364 2,149 $7K
90620 225 219 $7K
90670 1,070 991 $7K
90716 702 624 $7K
99173 2,329 2,211 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 48 47 $4K
90707 662 586 $3K
90723 1,159 1,111 $3K
0071A 73 73 $3K
0072A 63 63 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $2K
90633 696 654 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 163 148 $2K
90680 669 611 $1K
90696 135 119 $985.84
90677 299 286 $964.68
90648 1,378 1,266 $944.20
90656 358 344 $905.89
90715 180 149 $795.15
69210 40 40 $594.75
90700 130 119 $232.99
92551 18 18 $217.80
96127 28 28 $130.71
90681 174 159 $80.80
91307 85 79 $1.00
90381 12 12 $0.00