Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mejia Pediatrics LLC

Mejia Pediatrics LLC was paid $4.30M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoMEJIA PEDIATRICS LLC
ELIZABETH, NJ 07208
33aNPI1043507270assigned 07/08/2011
28Total paid$4.30M
24GClaims184,682
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in New Jersey

Rank by total paid#4 of 130
Median peer was paid$86K
This provider vs. median50×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201823,287$567K
201926,650$649K
202024,303$571K
202127,516$647K
202232,475$694K
202330,320$653K
2024incomplete20,131$515K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 29,634 27,528 $1.28M
90460 Immunization administration through 18 years of age via any route, first or only component 10.0% 20,321 19,933 $429K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9.7% 12,893 12,091 $416K
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 9.0% 6,233 5,861 $388K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.3% 6,189 6,122 $358K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7.5% 5,202 5,147 $324K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.2% 5,568 5,519 $309K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.1% 2,519 2,490 $133K
90461 1.5% 5,109 5,029 $64K
92551 1.3% 5,780 5,759 $54K
90651 1.0% 1,154 1,125 $43K
3008F <1% 15,791 15,543 $31K
71 more codes
90734 <1% 1,019 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,443 $29K
90686 <1% 6,165 $28K
90649 <1% 391 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,393 $27K
36416 <1% 5,914 $27K
90677 <1% 440 $26K
92552 <1% 1,967 $24K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,117 $22K
97802 <1% 4,647 $22K
0071A <1% 454 $18K
99173 <1% 10,412 $16K
0072A <1% 399 $16K
0001A <1% 388 $14K
0002A <1% 376 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 790 $13K
96127 <1% 5,446 $12K
99381 <1% 215 $11K
90670 <1% 1,024 $10K
90716 <1% 503 $9K
99203 Doctor's office visit, new patient (routine) <1% 125 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 730 $7K
97803 <1% 298 $6K
90656 <1% 810 $5K
90474 <1% 479 $5K
0004A <1% 108 $4K
90715 <1% 465 $4K
90633 <1% 1,406 $4K
90480 <1% 97 $4K
90707 <1% 284 $3K
92588 <1% 90 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,102 $3K
90700 <1% 289 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 47 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 35 $1K
0074A <1% 40 $1K
0081A <1% 29 $1K
99383 <1% 14 $1K
90680 <1% 550 $900.26
90647 <1% 653 $881.88
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 13 $850.12
83655 <1% 1,762 $833.94
0054A <1% 19 $680.00
90713 <1% 129 $665.97
0124A <1% 14 $560.00
90685 <1% 105 $511.16
87400 <1% 178 $430.43
94760 <1% 2,590 $418.42
90723 <1% 236 $398.22
90744 <1% 163 $273.51
90710 <1% 206 $262.37
69210 <1% 17 $209.45
94664 <1% 52 $157.81
90698 <1% 270 $83.50
85018 <1% 675 $81.59
96160 <1% 29 $51.84
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 50 $33.12
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 57 $30.00
G0444 Annual depression screening, 5 to 15 minutes <1% 36 $18.30
99072 <1% 1,261 $10.50
81002 <1% 19 $6.23
99071 <1% 3,968 $6.00
81003 <1% 27 $4.13
90696 0% 133 $0.00
91307 0% 1,022 $0.00
91305 0% 35 $0.00
91319 0% 13 $0.00
91308 0% 42 $0.00
91300 0% 969 $0.00
91320 0% 32 $0.00
91312 0% 13 $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.

From NPPES

Who's on the registration

Authorized officialGONZALEZ MEJIA, JOHANNA (OWNER)