Boulos, Mona

Boulos, Mona was paid $113K by Medicaid between Jan 2018 and Jul 2020, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoBOULOS, MONA
JERSEY CITY, NJ 07306

33aNPI1043316565assigned 09/15/2006

33bProvider typePediatrics Physician

28Total paid$113K

24GClaims3,808

24DCodes billed10

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#295 of 549

Median peer was paid$154K

This provider vs. median0.7×

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	1,588	$44K
2019	1,794	$55K
2020	426	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	59%	1,667	1,439	$67K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	873	803	$23K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	8.3%	765	731	$9K
90472	Immunization administration, each additional vaccine (list separately)	4.6%	282	273	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.0%	87	84	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.2%	44	43	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	13	13	$686.13
36410		<1%	38	38	$253.83
90688		<1%	26	26	$141.00
86580		<1%	13	13	$53.16

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.