Physician
Williamstown Pediatric Practice,pa
Williamstown Pediatric Practice,pa was paid $1.29M by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoWILLIAMSTOWN PEDIATRIC PRACTICE,PA
WILLIAMSTOWN, NJ 08094
WILLIAMSTOWN, NJ 08094
33aNPI1184671380assigned 05/31/2006
33bProvider typePediatrics Physician
28Total paid$1.29M
24GClaims94,616
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#100 of 549
Median peer was paid$154K
This provider vs. median8.4×
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 | 10,775 | $163K | |
| 2019 | 12,026 | $179K | |
| 2020 | 14,463 | $164K | |
| 2021 | 16,747 | $168K | |
| 2022 | 13,677 | $168K | |
| 2023 | 14,856 | $252K | |
| 2024incomplete | 12,072 | $195K |
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 | 22% | 12,716 | 11,309 | $286K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 7,958 | 7,686 | $159K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 2,378 | 2,349 | $123K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.8% | 2,040 | 2,012 | $114K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.1% | 4,241 | 4,133 | $92K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 1,921 | 1,883 | $87K |
| 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 | 5.3% | 1,632 | 1,547 | $68K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 1,555 | 1,499 | $67K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.1% | 2,754 | 2,670 | $65K |
| 92552 | 3.1% | 5,191 | 5,127 | $40K | |
| 90677 | 2.7% | 165 | 152 | $35K | |
| 90461 | 2.3% | 2,692 | 2,607 | $30K |
48 more codes
| 90619 | 1.3% | 133 | $17K | |
| 3008F | <1% | 3,768 | $12K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 461 | $11K |
| 92081 | <1% | 1,452 | $10K | |
| 96127 | <1% | 6,800 | $10K | |
| 90686 | <1% | 1,366 | $7K | |
| 90651 | <1% | 193 | $6K | |
| 99172 | <1% | 2,486 | $5K | |
| 99177 | <1% | 1,611 | $5K | |
| 36416 | <1% | 631 | $5K | |
| 0071A | <1% | 78 | $3K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 714 | $3K |
| 0072A | <1% | 73 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 182 | $2K |
| 90670 | <1% | 398 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 717 | $2K |
| 90716 | <1% | 127 | $2K | |
| 90713 | <1% | 616 | $2K | |
| 99442 | <1% | 97 | $2K | |
| 97802 | <1% | 8,902 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 120 | $1K |
| 90700 | <1% | 826 | $1K | |
| 0001A | <1% | 30 | $1K | |
| 90707 | <1% | 135 | $1K | |
| 90656 | <1% | 107 | $793.04 | |
| 90715 | <1% | 89 | $785.34 | |
| 0002A | <1% | 19 | $747.90 | |
| 90633 | <1% | 232 | $579.74 | |
| 90734 | <1% | 42 | $406.93 | |
| 90661 | <1% | 62 | $389.40 | |
| 96160 | <1% | 5,043 | $384.50 | |
| 90648 | <1% | 572 | $382.07 | |
| 90680 | <1% | 201 | $272.28 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 73 | $264.91 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,243 | $246.84 |
| 96161 | <1% | 1,013 | $241.20 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $207.96 |
| 99173 | <1% | 623 | $157.44 | |
| 90744 | <1% | 120 | $142.88 | |
| 99050 | <1% | 30 | $75.15 | |
| 91307 | <1% | 165 | $4.00 | |
| 99000 | 0% | 374 | $0.00 | |
| 94760 | 0% | 53 | $0.00 | |
| 90632 | 0% | 12 | $0.00 | |
| 91300 | 0% | 70 | $0.00 | |
| 99072 | 0% | 3,124 | $0.00 | |
| 90621 | 0% | 12 | $0.00 | |
| 97803 | 0% | 162 | $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 officialKANTHAN, RAJESWARI (OWNER)