Managed care
Gregg a Pearson DO PC
Gregg a Pearson DO PC was paid $259K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoGREGG A PEARSON DO PC
WATERFORD WORKS, NJ 08089
WATERFORD WORKS, NJ 08089
33aNPI1164621835assigned 07/13/2007
33bProvider typePreferred Provider Organization
28Total paid$259K
24GClaims18,929
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Preferred Provider Organization providers in New Jersey
Rank by total paid#6 of 9
Median peer was paid$601K
This provider vs. median0.4×
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 | 1,857 | $35K | |
| 2019 | 1,994 | $35K | |
| 2020 | 2,670 | $40K | |
| 2021 | 3,850 | $43K | |
| 2022 | 3,223 | $37K | |
| 2023 | 3,408 | $40K | |
| 2024incomplete | 1,927 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 3,952 | 3,084 | $112K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 8,122 | 6,744 | $65K |
| 99335 | 6.7% | 912 | 724 | $17K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.3% | 441 | 388 | $16K |
| 99348 | 5.3% | 561 | 356 | $14K | |
| 99336 | 3.7% | 330 | 312 | $10K | |
| 90756 | 1.9% | 297 | 266 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 476 | 451 | $5K |
| 90674 | 1.6% | 253 | 253 | $4K | |
| 99334 | 1.3% | 170 | 162 | $3K | |
| 96116 | <1% | 114 | 84 | $2K | |
| 99349 | <1% | 77 | 51 | $2K |
10 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 467 | $856.68 |
| 96127 | <1% | 530 | $524.99 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 23 | $509.13 |
| 90661 | <1% | 26 | $496.48 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 75 | $308.50 |
| 90694 | <1% | 44 | $163.34 | |
| G0008 | Administration of influenza virus vaccine | <1% | 158 | $125.40 |
| 99497 | <1% | 34 | $98.40 | |
| 86580 | <1% | 29 | $95.40 | |
| 99072 | 0% | 1,838 | $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 officialPEARSON, GREGG (OWNER)