North Wayne Pediatrics

North Wayne Pediatrics was paid $99K by Medicaid between Jan 2018 and Oct 2021, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoNORTH WAYNE PEDIATRICS
WAYNE, NJ 07470

33aNPI1124186853assigned 12/05/2006

33bProvider typePrimary Care Clinic/Center

28Total paid$99K

24GClaims2,342

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2021

Compared with peers

Next to other Primary Care Clinic/Center providers in New Jersey

Rank by total paid#61 of 130

Median peer was paid$86K

This provider vs. median1.2×

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	462	$27K
2019	745	$34K
2020	781	$26K
2021	354	$12K

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	87%	1,397	1,103	$87K
90460	Immunization administration through 18 years of age via any route, first or only component	4.1%	236	225	$4K
99401		2.9%	370	369	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.5%	24	24	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.3%	13	13	$1K
92551		1.1%	113	113	$1K
90686		<1%	18	18	$331.38
90461		<1%	14	14	$289.20
96127		<1%	13	13	$55.72
99173		<1%	144	144	$27.84

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 officialGRUCZYNSKI, TOMASZ (OWNER)