Plainfield Pediatrics PA
Plainfield Pediatrics PA was paid $6.15M by Medicaid between Jan 2018 and Nov 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoPLAINFIELD PEDIATRICS PA
PLAINFIELD, NJ 07060
PLAINFIELD, NJ 07060
33aNPI1053563304assigned 10/17/2008
33bProvider typeSpecialist
28Total paid$6.15M
24GClaims245,556
24DCodes billed69
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#8 of 378
Median peer was paid$63K
This provider vs. median98×
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 | 36,550 | $924K | |
| 2019 | 38,436 | $943K | |
| 2020 | 32,238 | $757K | |
| 2021 | 29,110 | $761K | |
| 2022 | 37,284 | $920K | |
| 2023 | 39,937 | $1.00M | |
| 2024incomplete | 32,001 | $840K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 44,962 | 35,569 | $2.11M |
| 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 | 16% | 15,165 | 14,298 | $1.01M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 25,493 | 24,547 | $410K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 5,461 | 5,446 | $289K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 4,783 | 4,757 | $273K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 4,268 | 4,240 | $227K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 8,590 | 8,529 | $171K |
| 92553 | 2.2% | 8,292 | 8,268 | $137K | |
| 94010 | 2.1% | 7,984 | 7,932 | $128K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 2,332 | 2,309 | $121K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 4,181 | 4,129 | $102K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 2,668 | 2,543 | $93K |
57 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 7,543 | $85K |
| 90651 | 1.3% | 910 | $78K | |
| 92552 | 1.1% | 5,234 | $69K | |
| 90671 | 1.0% | 721 | $64K | |
| 90461 | <1% | 4,090 | $61K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 5,645 | $54K |
| 95930 | <1% | 1,527 | $49K | |
| 99188 | <1% | 2,625 | $49K | |
| 90620 | <1% | 732 | $44K | |
| 90686 | <1% | 6,586 | $43K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 19,041 | $37K |
| 86580 | <1% | 7,724 | $34K | |
| 94667 | <1% | 2,730 | $34K | |
| 90734 | <1% | 918 | $33K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 493 | $28K |
| 94668 | <1% | 2,699 | $27K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,594 | $27K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 3,018 | $26K |
| 83655 | <1% | 1,971 | $25K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 249 | $23K |
| 95028 | <1% | 3,255 | $22K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,576 | $21K |
| 99173 | <1% | 4,877 | $15K | |
| 90715 | <1% | 900 | $14K | |
| 90744 | <1% | 2,164 | $14K | |
| 92550 | <1% | 1,081 | $11K | |
| 3008F | <1% | 2,481 | $10K | |
| 90716 | <1% | 708 | $9K | |
| 97802 | <1% | 672 | $9K | |
| 96112 | <1% | 109 | $7K | |
| 90707 | <1% | 622 | $5K | |
| 36416 | <1% | 2,967 | $5K | |
| 94644 | <1% | 284 | $5K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 802 | $4K |
| 81000 | <1% | 3,106 | $4K | |
| 90670 | <1% | 476 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 231 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 498 | $3K |
| 90633 | <1% | 756 | $2K | |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | <1% | 2,252 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,861 | $2K |
| 36406 | <1% | 116 | $2K | |
| 90696 | <1% | 159 | $1K | |
| 90698 | <1% | 849 | $1K | |
| 87070 | <1% | 97 | $919.14 | |
| 99383 | <1% | 15 | $874.62 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $832.36 |
| 90680 | <1% | 589 | $787.45 | |
| 99384 | <1% | 12 | $666.04 | |
| 90681 | <1% | 116 | $500.00 | |
| 90700 | <1% | 107 | $325.72 | |
| 90648 | <1% | 208 | $263.14 | |
| 69210 | <1% | 15 | $239.97 | |
| 81002 | <1% | 82 | $91.05 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 123 | $77.00 |
| 99072 | 0% | 132 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 14 | $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 officialZONN, SVETLANA (DOCTOR)