Suede, Solomon
Suede, Solomon was paid $1K by Medicaid between Dec 2023 and Dec 2023, across 9 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 31% of everything it billed.
33Billing provider infoSUEDE, SOLOMON
EAST ORANGE, NJ 07017
EAST ORANGE, NJ 07017
33aNPI1023646130assigned 04/01/2020
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$1K
24GClaims207
24DCodes billed9
24AFirst – last monthDec 2023 – Dec 2023
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New Jersey
Rank by total paid#143 of 181
Median peer was paid$10K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 207 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 31% | 31 | 25 | $430.17 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 30% | 18 | 15 | $420.75 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 24% | 15 | 12 | $336.60 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.7% | 14 | 13 | $107.58 |
| 90656 | 3.8% | 30 | 26 | $53.28 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 37 | 27 | $40.00 |
| 99173 | 0% | 17 | 14 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 31 | 27 | $0.00 |
| 97802 | 0% | 14 | 12 | $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.