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

Fayrouz Pediatric LLC

Fayrouz Pediatric LLC was paid $13.36M by Medicaid between Jan 2018 and Nov 2024, across 73 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoFAYROUZ PEDIATRIC LLC
PATERSON, NJ 07503
33aNPI1154571222assigned 09/25/2008
33bProvider typePediatrics Physician
28Total paid$13.36M
24GClaims285,878
24DCodes billed73
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#8 of 549
Median peer was paid$154K
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

$0$200K$400K2018201920202021202220232024
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
201830,863$1.40M
201929,245$1.36M
202029,194$1.33M
202141,595$1.96M
202263,839$3.03M
202350,766$2.48M
2024incomplete40,376$1.80M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38% 74,895 57,981 $5.10M
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 28% 37,427 33,218 $3.69M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.8% 5,698 5,485 $508K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.5% 10,573 9,802 $468K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.3% 4,490 4,304 $441K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.9% 4,316 4,160 $388K
90460 Immunization administration through 18 years of age via any route, first or only component 2.8% 16,678 15,879 $376K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.7% 7,920 7,224 $363K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.7% 20,419 13,299 $363K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.3% 3,727 3,494 $314K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.4% 7,627 7,114 $191K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 10,510 10,078 $128K
61 more codes
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 378 $102K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 9,783 $90K
90461 <1% 5,423 $65K
36415 Collection of venous blood by venipuncture <1% 9,938 $55K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 537 $52K
94664 <1% 3,326 $48K
97802 <1% 15,730 $48K
90677 <1% 327 $44K
99442 <1% 1,359 $41K
95930 <1% 920 $41K
99204 Doctor's office visit, new patient (more involved) <1% 349 $39K
99460 <1% 715 $38K
99238 Hospital discharge day management, 30 minutes or less <1% 704 $35K
99188 <1% 1,870 $32K
99203 Doctor's office visit, new patient (routine) <1% 468 $31K
92558 <1% 2,959 $27K
99401 <1% 831 $25K
99462 <1% 728 $22K
90734 <1% 1,122 $22K
90649 <1% 410 $20K
90620 <1% 763 $18K
90671 <1% 190 $15K
90716 <1% 928 $13K
90651 <1% 153 $13K
36410 <1% 877 $11K
90688 <1% 2,097 $9K
36406 <1% 644 $9K
90707 <1% 854 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,259 $5K
86580 <1% 796 $5K
90715 <1% 620 $4K
99383 <1% 48 $4K
90700 <1% 2,150 $4K
99384 <1% 39 $4K
90670 <1% 531 $3K
96127 <1% 930 $3K
90713 <1% 1,397 $3K
90633 <1% 925 $3K
90687 <1% 196 $2K
99173 <1% 1,539 $2K
99215 Doctor's office visit, returning patient (complex) <1% 16 $2K
99174 <1% 320 $1K
92587 <1% 92 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 68 $1K
99441 <1% 20 $910.45
90647 <1% 1,047 $890.65
83655 <1% 530 $806.07
90681 <1% 530 $797.36
90744 <1% 785 $749.33
A4556 Electrodes, (e.g., apnea monitor), per pair <1% 200 $696.81
A4558 Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz <1% 205 $308.10
29540 <1% 15 $295.23
A6411 Eye pad, non-sterile, each <1% 200 $202.50
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 52 $147.38
99000 <1% 2,066 $108.00
36416 <1% 333 $72.90
81002 <1% 52 $24.65
3078F <1% 100 $5.00
3074F <1% 55 $2.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 15 $0.00
99072 0% 84 $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 officialGADALLA, HISHAM (PRESIDENT)