Clinic
Batista Pediatrics, LLC
Batista Pediatrics, LLC was paid $7.45M by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoBATISTA PEDIATRICS, LLC
PATERSON, NJ 07505
PATERSON, NJ 07505
33aNPI1093948218assigned 09/03/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$7.45M
24GClaims163,201
24DCodes billed53
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#2 of 130
Median peer was paid$86K
This provider vs. median87×
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 | 21,613 | $972K | |
| 2019 | 24,508 | $1.15M | |
| 2020 | 20,653 | $938K | |
| 2021 | 23,897 | $1.11M | |
| 2022 | 31,099 | $1.30M | |
| 2023 | 25,729 | $1.22M | |
| 2024incomplete | 15,702 | $760K |
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 | 54% | 51,155 | 43,313 | $4.04M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 5,847 | 5,826 | $624K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 5,483 | 5,437 | $578K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.6% | 4,189 | 4,169 | $490K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.8% | 10,665 | 10,550 | $430K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 3,535 | 3,505 | $338K |
| 92587 | 2.4% | 9,346 | 9,240 | $177K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 4,767 | 4,644 | $134K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 6,941 | 6,791 | $97K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 4,085 | 4,026 | $92K |
| 99441 | <1% | 2,120 | 2,096 | $58K | |
| 92558 | <1% | 5,645 | 5,536 | $58K |
41 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 482 | $54K |
| 90461 | <1% | 2,492 | $48K | |
| 99381 | <1% | 313 | $30K | |
| 90651 | <1% | 664 | $25K | |
| 92588 | <1% | 595 | $19K | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 6,023 | $17K |
| 90670 | <1% | 1,048 | $17K | |
| 87430 | <1% | 981 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 108 | $11K |
| 90734 | <1% | 694 | $11K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 178 | $10K |
| 99173 | <1% | 9,853 | $10K | |
| 90671 | <1% | 225 | $10K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 91 | $10K |
| 90677 | <1% | 120 | $8K | |
| 90658 | <1% | 472 | $7K | |
| 90621 | <1% | 226 | $6K | |
| 96160 | <1% | 8,215 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 222 | $4K |
| 97802 | <1% | 10,861 | $3K | |
| 90674 | <1% | 108 | $3K | |
| 90723 | <1% | 641 | $2K | |
| 90686 | <1% | 1,207 | $2K | |
| 99382 | <1% | 13 | $2K | |
| 90710 | <1% | 463 | $1K | |
| 90633 | <1% | 587 | $1K | |
| 90715 | <1% | 276 | $1K | |
| 90716 | <1% | 99 | $1K | |
| 69210 | <1% | 43 | $978.62 | |
| 90680 | <1% | 734 | $655.94 | |
| 90707 | <1% | 101 | $584.19 | |
| 90700 | <1% | 133 | $524.06 | |
| 36416 | <1% | 48 | $455.16 | |
| 90647 | <1% | 543 | $440.94 | |
| 90657 | <1% | 63 | $182.94 | |
| 90648 | <1% | 198 | $91.32 | |
| 87081 | <1% | 13 | $51.11 | |
| 81002 | <1% | 53 | $44.15 | |
| 90744 | 0% | 13 | $0.00 | |
| 90698 | 0% | 84 | $0.00 | |
| 90696 | 0% | 140 | $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 officialBATISTA, JOSE (OWNER)