Physician
Clifton Pediatrics, PTR
Clifton Pediatrics, PTR was paid $6.09M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoCLIFTON PEDIATRICS, PTR
CLIFTON, NJ 07011
CLIFTON, NJ 07011
33aNPI1073741856assigned 06/30/2009
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$6.09M
24GClaims176,126
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New Jersey
Rank by total paid#2 of 56
Median peer was paid$178K
This provider vs. median34×
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 | 24,300 | $765K | |
| 2019 | 26,366 | $757K | |
| 2020 | 22,622 | $683K | |
| 2021 | 21,033 | $897K | |
| 2022 | 32,366 | $1.17M | |
| 2023 | 29,223 | $1.09M | |
| 2024incomplete | 20,216 | $717K |
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 | 58% | 55,750 | 45,106 | $3.55M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 4,888 | 4,820 | $415K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 5,016 | 4,852 | $387K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 14,995 | 14,309 | $337K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 3,862 | 3,837 | $322K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 3,012 | 2,979 | $269K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 2,542 | 2,417 | $95K |
| 90461 | 1.4% | 5,374 | 5,197 | $83K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 3,510 | 3,352 | $54K |
| 90671 | <1% | 836 | 766 | $54K | |
| 90619 | <1% | 528 | 513 | $51K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 715 | 682 | $37K |
59 more codes
| 90670 | <1% | 1,730 | $31K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,303 | $28K |
| 99460 | <1% | 462 | $28K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,232 | $25K |
| 90651 | <1% | 449 | $21K | |
| 90716 | <1% | 803 | $21K | |
| 90710 | <1% | 391 | $20K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 532 | $19K |
| 90734 | <1% | 418 | $17K | |
| 90686 | <1% | 3,114 | $16K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,205 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,411 | $14K |
| 97802 | <1% | 3,382 | $14K | |
| 87070 | <1% | 1,861 | $14K | |
| 99462 | <1% | 487 | $13K | |
| 90633 | <1% | 1,939 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 515 | $10K |
| 90700 | <1% | 1,480 | $10K | |
| 90698 | <1% | 1,065 | $9K | |
| 99173 | <1% | 6,741 | $9K | |
| 90680 | <1% | 1,393 | $8K | |
| 90707 | <1% | 450 | $8K | |
| 90713 | <1% | 659 | $7K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 73 | $6K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 446 | $5K |
| 99381 | <1% | 74 | $5K | |
| 85018 | <1% | 2,757 | $5K | |
| 83655 | <1% | 1,400 | $5K | |
| 90715 | <1% | 447 | $5K | |
| 90744 | <1% | 1,411 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 49 | $4K |
| 90649 | <1% | 63 | $3K | |
| 99464 | <1% | 62 | $3K | |
| 94664 | <1% | 499 | $3K | |
| 94760 | <1% | 10,992 | $3K | |
| 94644 | <1% | 58 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $2K |
| 99000 | <1% | 3,379 | $700.37 | |
| 90647 | <1% | 592 | $605.44 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $599.54 |
| 90644 | <1% | 169 | $556.16 | |
| 90656 | <1% | 86 | $400.12 | |
| 81002 | <1% | 585 | $389.14 | |
| 99051 | <1% | 665 | $315.68 | |
| 36416 | <1% | 2,079 | $197.47 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 176 | $177.40 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 224 | $104.00 |
| 86580 | <1% | 12 | $85.06 | |
| 3074F | <1% | 5,366 | $66.00 | |
| 3078F | <1% | 5,350 | $64.00 | |
| 90655 | <1% | 17 | $46.29 | |
| 90648 | <1% | 54 | $35.26 | |
| 90657 | <1% | 16 | $30.79 | |
| 96160 | <1% | 1,044 | $22.14 | |
| 90473 | <1% | 13 | $14.55 | |
| 81003 | <1% | 13 | $6.47 | |
| 90696 | 0% | 167 | $0.00 | |
| J7612 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg | 0% | 76 | $0.00 |
| A4657 | Syringe, with or without needle, each | 0% | 630 | $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 officialSARIGUL, MELIH (PHYSICIAN/PARTNER)