The Amboys Pediatrics PA
The Amboys Pediatrics PA was paid $9.20M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoTHE AMBOYS PEDIATRICS PA
PERTH AMBOY, NJ 08861
PERTH AMBOY, NJ 08861
33aNPI1154711141assigned 01/28/2015
33bProvider typeLegal Medicine
28Total paid$9.20M
24GClaims369,014
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Legal Medicine providers in New Jersey
Rank by total paid#1 of 15
Median peer was paid$168K
This provider vs. median55×
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 | 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 | |
| 2024incomplete | 69,375 | $1.13M |
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 | 30% | 44,084 | 40,248 | $2.72M |
| 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 | 15% | 16,221 | 15,332 | $1.40M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 25,387 | 23,386 | $950K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 7,498 | 7,378 | $618K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 7,143 | 6,984 | $584K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 5,495 | 5,371 | $420K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 4,232 | 4,138 | $368K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 16,890 | 16,311 | $348K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 18,654 | 17,705 | $161K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 5,614 | 5,372 | $156K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 9,569 | 9,377 | $122K |
| 92551 | 1.2% | 11,423 | 11,148 | $107K |
93 more codes
| 99188 | <1% | 4,622 | $90K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,742 | $84K |
| 90461 | <1% | 4,422 | $83K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,936 | $79K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 4,916 | $70K |
| 36415 | Collection of venous blood by venipuncture | <1% | 15,637 | $69K |
| 90651 | <1% | 1,133 | $67K | |
| 96127 | <1% | 14,827 | $51K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,061 | $51K |
| 95930 | <1% | 714 | $38K | |
| 90671 | <1% | 529 | $38K | |
| 92552 | <1% | 1,788 | $37K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,659 | $35K |
| 90670 | <1% | 2,131 | $30K | |
| 3008F | <1% | 15,344 | $29K | |
| 90619 | <1% | 392 | $26K | |
| 90697 | <1% | 599 | $22K | |
| 96161 | <1% | 10,654 | $22K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 242 | $21K |
| 99381 | <1% | 231 | $19K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 212 | $18K |
| 90710 | <1% | 628 | $16K | |
| 90688 | <1% | 1,190 | $15K | |
| 83655 | <1% | 2,557 | $15K | |
| 0071A | <1% | 304 | $12K | |
| 90686 | <1% | 6,717 | $12K | |
| 99173 | <1% | 12,051 | $12K | |
| 90620 | <1% | 192 | $11K | |
| 81002 | <1% | 15,042 | $11K | |
| 0072A | <1% | 273 | $11K | |
| 90734 | <1% | 344 | $10K | |
| 97803 | <1% | 3,871 | $9K | |
| 92587 | <1% | 570 | $9K | |
| 90633 | <1% | 2,046 | $9K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 775 | $9K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 26 | $9K |
| 99383 | <1% | 88 | $8K | |
| 90661 | <1% | 754 | $8K | |
| 99384 | <1% | 70 | $7K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 245 | $7K |
| 96160 | <1% | 3,576 | $6K | |
| 36406 | <1% | 389 | $5K | |
| 99408 | <1% | 1,491 | $4K | |
| 0002A | <1% | 115 | $4K | |
| 90716 | <1% | 360 | $4K | |
| 0001A | <1% | 111 | $4K | |
| 90474 | <1% | 407 | $4K | |
| 85018 | <1% | 1,790 | $3K | |
| 94010 | <1% | 101 | $3K | |
| 90696 | <1% | 355 | $3K | |
| 90715 | <1% | 281 | $3K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 213 | $2K |
| 86580 | <1% | 346 | $2K | |
| 90723 | <1% | 114 | $2K | |
| 92567 | <1% | 130 | $1K | |
| 97802 | <1% | 183 | $1K | |
| 87807 | <1% | 338 | $1K | |
| 69210 | <1% | 35 | $1K | |
| 99460 | <1% | 14 | $1K | |
| 81025 | <1% | 146 | $820.59 | |
| 90698 | <1% | 371 | $812.69 | |
| 90685 | <1% | 174 | $792.48 | |
| 90648 | <1% | 306 | $740.53 | |
| 90707 | <1% | 183 | $717.08 | |
| 0004A | <1% | 14 | $560.00 | |
| 90700 | <1% | 148 | $514.92 | |
| 94664 | <1% | 33 | $387.31 | |
| 99401 | <1% | 18 | $372.09 | |
| 90680 | <1% | 1,128 | $347.91 | |
| 92558 | <1% | 24 | $208.79 | |
| 94760 | <1% | 1,025 | $143.55 | |
| 90681 | <1% | 103 | $138.74 | |
| 90744 | <1% | 71 | $121.39 | |
| 91307 | <1% | 525 | $121.00 | |
| H0049 | Alcohol and/or drug screening | <1% | 1,631 | $82.00 |
| 90674 | <1% | 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 | <1% | 41 | $67.63 |
| 91300 | <1% | 386 | $60.00 | |
| 87110 | <1% | 709 | $36.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 1,604 | $27.25 |
| 87081 | <1% | 16 | $3.32 | |
| 1160F | <1% | 5,493 | $3.00 | |
| 1159F | <1% | 5,494 | $3.00 | |
| 2010F | <1% | 5,502 | $3.00 | |
| 2001F | <1% | 5,505 | $3.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 432 | $2.65 |
| 3725F | 0% | 2,624 | $0.00 | |
| 3016F | 0% | 1,229 | $0.00 | |
| 1000F | 0% | 2,278 | $0.00 | |
| 4293F | 0% | 1,228 | $0.00 | |
| 1036F | 0% | 1,576 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,613 | $0.00 |
| 36416 | 0% | 34 | $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 officialALMANZAR, RAUL (MD/PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.