Physician
Sanford Heights Pediatrics
Sanford Heights Pediatrics was paid $1.61M by Medicaid between Jan 2018 and Nov 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoSANFORD HEIGHTS PEDIATRICS
IRVINGTON, NJ 07111
IRVINGTON, NJ 07111
33aNPI1174648562assigned 03/21/2007
33bProvider typePediatrics Physician
28Total paid$1.61M
24GClaims67,591
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#80 of 549
Median peer was paid$154K
This provider vs. median10×
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 | 8,815 | $220K | |
| 2019 | 9,210 | $222K | |
| 2020 | 8,006 | $189K | |
| 2021 | 9,011 | $232K | |
| 2022 | 15,238 | $306K | |
| 2023 | 11,898 | $283K | |
| 2024incomplete | 5,413 | $158K |
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 | 19% | 12,498 | 11,782 | $302K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 5,477 | 5,457 | $264K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 5,279 | 5,257 | $260K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 3,733 | 3,715 | $195K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.0% | 6,405 | 6,338 | $144K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 2,745 | 2,727 | $134K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.1% | 5,640 | 5,556 | $82K |
| 90461 | 3.2% | 2,561 | 2,545 | $51K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 2,717 | 2,694 | $33K |
| 3008F | 1.5% | 10,834 | 10,760 | $24K | |
| 90651 | <1% | 585 | 572 | $16K | |
| 90734 | <1% | 575 | 564 | $14K |
29 more codes
| 90697 | <1% | 159 | $12K | |
| 99383 | <1% | 214 | $11K | |
| 90620 | <1% | 301 | $10K | |
| 90686 | <1% | 1,854 | $9K | |
| 99384 | <1% | 159 | $9K | |
| 90670 | <1% | 830 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 85 | $4K |
| 99381 | <1% | 74 | $4K | |
| 90716 | <1% | 147 | $4K | |
| 99382 | <1% | 44 | $3K | |
| 90656 | <1% | 434 | $2K | |
| 90707 | <1% | 157 | $2K | |
| 90633 | <1% | 567 | $2K | |
| 90715 | <1% | 318 | $2K | |
| 90696 | <1% | 198 | $2K | |
| 90681 | <1% | 268 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,083 | $862.29 |
| 90710 | <1% | 339 | $741.90 | |
| 90474 | <1% | 104 | $666.64 | |
| 90700 | <1% | 150 | $580.36 | |
| 90648 | <1% | 245 | $480.82 | |
| 90698 | <1% | 211 | $473.79 | |
| 83655 | <1% | 66 | $466.00 | |
| 90723 | <1% | 84 | $429.20 | |
| 90688 | <1% | 12 | $155.78 | |
| 90744 | <1% | 30 | $77.72 | |
| 90713 | <1% | 14 | $40.64 | |
| 99070 | 0% | 199 | $0.00 | |
| 99072 | 0% | 196 | $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 officialLEGER, PIERRE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pierre Leger, M.D. P.A. | Tampa, FL | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.