Jariwala, Nilesh

Jariwala, Nilesh was paid $208K by Medicaid between Jan 2018 and Oct 2019, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoJARIWALA, NILESH
WAYNE, NJ 07470

33aNPI1073572848assigned 03/21/2006

33bProvider typePediatrics Physician

28Total paid$208K

24GClaims5,049

24DCodes billed19

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#253 of 549

Median peer was paid$154K

This provider vs. median1.4×

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	2,755	$116K
2019	2,294	$92K

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	50%	1,805	1,499	$104K
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	22%	531	484	$45K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.1%	319	290	$11K
90460	Immunization administration through 18 years of age via any route, first or only component	4.4%	567	519	$9K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	4.3%	43	36	$9K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.8%	59	59	$6K
97802		2.6%	287	279	$5K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.1%	616	607	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.7%	42	42	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.7%	273	254	$3K
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	1.5%	12	12	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	220	215	$2K

7 more codes

86580	<1%	102	$690.43
90686	<1%	54	$553.48
94010	<1%	16	$482.43
92551	<1%	54	$372.41
92558	<1%	17	$148.07
92567	<1%	12	$128.60
99173	<1%	20	$39.91

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.