Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHORE CARE PEDIATRICS L.L.C.

NPI: 1154636751 · TINTON FALLS, NJ 07753 · Primary Care Clinic/Center · NPI assigned 08/09/2010

$15K
Total Medicaid Paid
516
Total Claims
462
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialPERRIL, REBECCA (OWNER)
NPI Enumeration Date08/09/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 516 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 143 129 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 88 74 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 70 65 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 68 68 $318.71
96160 25 25 $10.86
94760 122 101 $0.00