East Bay Newborn Specialists, INC.

East Bay Newborn Specialists, INC. was paid $3.92M by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is Z0102, — 38% of everything it billed.

33Billing provider infoEAST BAY NEWBORN SPECIALISTS, INC.
OAKLAND, CA 94609

33aNPI1043375561assigned 12/26/2006

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$3.92M

24GClaims24,375

24DCodes billed17

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in California

Rank by total paid#7 of 80

Median peer was paid$66K

This provider vs. median59×

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	8,656	$1.49M
2019	5,724	$949K
2020	3,233	$472K
2021	1,717	$256K
2022	1,191	$168K
2023	2,454	$372K
2024incomplete	1,400	$212K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Z0102		38%	7,551	2,134	$1.48M
99480	Subsequent intensive care, per day, low birth weight infant	19%	5,814	2,028	$745K
Z0104		12%	3,255	972	$461K
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	11%	2,366	676	$448K
99479	Subsequent intensive care, per day, very low birth weight infant	7.6%	2,191	534	$298K
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	6.1%	1,230	333	$239K
Z0100		2.3%	230	217	$89K
Z0106		1.2%	646	217	$48K
99239	Hospital discharge day management, more than 30 minutes	<1%	366	353	$27K
99468		<1%	56	55	$23K
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	<1%	230	217	$20K
99477		<1%	42	41	$14K

5 more codes

96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	161	$11K
Z4304		<1%	167	$9K
99215	Doctor's office visit, returning patient (complex)	<1%	14	$2K
96112		<1%	12	$2K
99252		<1%	44	$2K

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 officialD'HARLINGUE, ARTHUR (PRESIDENT)