Physician
Hamilton Pediatric Associates, P.C.
Hamilton Pediatric Associates, P.C. was paid $369K by Medicaid between Jan 2018 and Oct 2019, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoHAMILTON PEDIATRIC ASSOCIATES, P.C.
HAMILTON, NJ 08690
HAMILTON, NJ 08690
33aNPI1114971561assigned 05/20/2006
33bProvider typePediatrics Physician
28Total paid$369K
24GClaims10,518
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#205 of 549
Median peer was paid$154K
This provider vs. median2.4×
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 | 6,181 | $211K | |
| 2019 | 4,337 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 2,571 | 2,496 | $179K |
| 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% | 2,651 | 2,556 | $127K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.0% | 1,575 | 1,563 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 161 | 161 | $13K |
| 92551 | 1.8% | 1,066 | 1,064 | $7K | |
| 3008F | 1.3% | 645 | 645 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 38 | 38 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 237 | 237 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | 81 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 310 | 307 | $2K |
| 99173 | <1% | 892 | 891 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 78 | 77 | $2K |
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 officialGILBERT, LINDA (PRACTICE MANAGER)