Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › PERTH AMBOY › THE AMBOYS PEDIATRICS PA

THE AMBOYS PEDIATRICS PA

NPI: 1154711141 · PERTH AMBOY, NJ 08861 · Legal Medicine · NPI assigned 01/28/2015

$9.20M
Total Medicaid Paid
369,014
Total Claims
351,031
Beneficiaries
105
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALMANZAR, RAUL (MD/PRESIDENT)
NPI Enumeration Date01/28/2015

Related Entities

Other providers sharing the same authorized official: ALMANZAR, RAUL

ProviderCityStateTotal Paid
PASSAIC PEDIATRICS II PA PASSAIC NJ $19.95M
NORTH BERGEN PEDIATRICS NORTH BERGEN NJ $2.89M
PASSAIC PEDIATRICS II PA PASSAIC NJ $2.43M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42,386 $1.38M
2019 39,045 $1.17M
2020 54,401 $1.29M
2021 42,127 $1.16M
2022 57,623 $1.61M
2023 64,057 $1.46M
2024 69,375 $1.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,084 40,248 $2.72M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,221 15,332 $1.40M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25,387 23,386 $950K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,498 7,378 $618K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,143 6,984 $584K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,495 5,371 $420K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,232 4,138 $368K
90460 Immunization administration through 18 years of age via any route, first or only component 16,890 16,311 $348K
96110 Developmental screening, with scoring and documentation, per standardized instrument 18,654 17,705 $161K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,614 5,372 $156K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,569 9,377 $122K
92551 11,423 11,148 $107K
99188 4,622 4,572 $90K
90472 Immunization administration, each additional vaccine (list separately) 4,742 4,659 $84K
90461 4,422 4,315 $83K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,936 6,740 $79K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 4,916 4,896 $70K
36415 Collection of venous blood by venipuncture 15,637 14,935 $69K
90651 1,133 1,087 $67K
96127 14,827 14,333 $51K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,061 3,684 $51K
95930 714 713 $38K
90671 529 497 $38K
92552 1,788 1,787 $37K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,659 2,497 $35K
90670 2,131 2,095 $30K
3008F 15,344 14,739 $29K
90619 392 364 $26K
90697 599 575 $22K
96161 10,654 10,207 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 242 242 $21K
99381 231 228 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 212 200 $18K
90710 628 584 $16K
90688 1,190 1,143 $15K
83655 2,557 2,452 $15K
0071A 304 301 $12K
90686 6,717 6,475 $12K
99173 12,051 11,600 $12K
90620 192 185 $11K
81002 15,042 14,600 $11K
0072A 273 273 $11K
90734 344 332 $10K
97803 3,871 3,739 $9K
92587 570 567 $9K
90633 2,046 1,971 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 775 731 $9K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 26 25 $9K
99383 88 87 $8K
90661 754 744 $8K
99384 70 70 $7K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 245 243 $7K
96160 3,576 3,446 $6K
36406 389 378 $5K
99408 1,491 1,431 $4K
0002A 115 115 $4K
90716 360 344 $4K
0001A 111 111 $4K
90474 407 405 $4K
85018 1,790 1,758 $3K
94010 101 99 $3K
90696 355 333 $3K
90715 281 262 $3K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 213 212 $2K
86580 346 333 $2K
90723 114 114 $2K
92567 130 121 $1K
97802 183 173 $1K
87807 338 333 $1K
69210 35 33 $1K
99460 14 13 $1K
81025 146 146 $820.59
90698 371 359 $812.69
90685 174 174 $792.48
90648 306 302 $740.53
90707 183 176 $717.08
0004A 14 14 $560.00
90700 148 142 $514.92
94664 33 33 $387.31
99401 18 18 $372.09
90680 1,128 1,091 $347.91
92558 24 24 $208.79
94760 1,025 940 $143.55
90681 103 102 $138.74
90744 71 70 $121.39
91307 525 498 $121.00
H0049 Alcohol and/or drug screening 1,631 1,500 $82.00
90674 257 257 $77.01
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 41 40 $67.63
91300 386 368 $60.00
87110 709 687 $36.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 1,604 1,476 $27.25
87081 16 13 $3.32
1160F 5,493 5,081 $3.00
1159F 5,494 5,081 $3.00
2010F 5,502 5,087 $3.00
2001F 5,505 5,088 $3.00
G9820 Documentation of a chlamydia screening test with proper follow-up 432 413 $2.65
3725F 2,624 2,390 $0.00
3016F 1,229 1,103 $0.00
1000F 2,278 2,064 $0.00
4293F 1,228 1,102 $0.00
1036F 1,576 1,434 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,613 1,473 $0.00
36416 34 34 $0.00