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

Pediatric Health, PA

Pediatric Health, PA was paid $121K by Medicaid between Jan 2018 and Dec 2018, across 16 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 26% of everything it billed.

33Billing provider infoPEDIATRIC HEALTH, PA
FREEHOLD, NJ 07728
33aNPI1083723993assigned 08/30/2006
33bProvider typePediatrics Physician
28Total paid$121K
24GClaims18,624
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#292 of 549
Median peer was paid$154K
This provider vs. median0.8×

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$10K$20K2018201920202021202220232024
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
201818,624$121K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26% 2,697 2,691 $31K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 20% 727 727 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 564 563 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12% 424 424 $14K
90460 Immunization administration through 18 years of age via any route, first or only component 9.7% 411 410 $12K
90461 6.0% 409 409 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.8% 7,704 7,332 $6K
90472 Immunization administration, each additional vaccine (list separately) 2.6% 226 226 $3K
90686 2.1% 173 173 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.2% 41 41 $1K
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% 535 518 $416.58
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,776 1,737 $350.40
4 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 464 $124.20
96127 <1% 1,576 $87.43
87081 <1% 110 $54.00
99173 <1% 787 $15.00

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 officialROBERTA, LOPEZ (COMPTROLLER)