Washington ST Pediatrics LLC
Washington ST Pediatrics LLC was paid $1.93M by Medicaid between Jan 2022 and Nov 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
NEWARK, NJ 07102
Next to other Pediatric Adolescent Medicine Physician providers in New Jersey
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 33,231 | $446K | |
| 2023 | 84,780 | $1.07M | |
| 2024incomplete | 50,901 | $421K |
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 | 58% | 44,961 | 33,860 | $1.12M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 5,182 | 4,241 | $140K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.3% | 9,593 | 8,246 | $102K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 3,914 | 3,227 | $99K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.7% | 5,401 | 4,566 | $92K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.1% | 2,967 | 2,302 | $79K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 3,330 | 2,635 | $65K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 1,234 | 1,072 | $40K |
| 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 | 2.0% | 1,081 | 889 | $39K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 18,760 | 14,047 | $24K |
| 3008F | 1.1% | 11,941 | 9,484 | $21K | |
| 90671 | <1% | 1,631 | 1,349 | $19K |
45 more codes
| 90461 | <1% | 1,337 | $16K | |
| 83655 | <1% | 3,608 | $10K | |
| 90620 | <1% | 1,130 | $9K | |
| 90734 | <1% | 1,647 | $8K | |
| 90656 | <1% | 4,530 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 229 | $6K |
| 90651 | <1% | 1,772 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 680 | $4K |
| 86580 | <1% | 1,066 | $4K | |
| 36406 | <1% | 817 | $4K | |
| 36410 | <1% | 2,204 | $3K | |
| 90710 | <1% | 483 | $3K | |
| 90670 | <1% | 642 | $2K | |
| 92551 | <1% | 310 | $2K | |
| 99383 | <1% | 64 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 224 | $1K |
| 99381 | <1% | 40 | $1K | |
| 90723 | <1% | 632 | $1K | |
| 90633 | <1% | 1,502 | $902.20 | |
| 90715 | <1% | 600 | $873.22 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $629.72 |
| 90680 | <1% | 539 | $598.03 | |
| 90696 | <1% | 327 | $586.45 | |
| 99382 | <1% | 88 | $574.70 | |
| 90698 | <1% | 302 | $556.50 | |
| 99177 | <1% | 484 | $513.70 | |
| 99000 | <1% | 16,348 | $500.22 | |
| 97803 | <1% | 13,464 | $441.29 | |
| 99173 | <1% | 1,246 | $380.00 | |
| 90716 | <1% | 132 | $349.66 | |
| 90655 | <1% | 126 | $331.88 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 45 | $299.96 |
| 96127 | <1% | 157 | $172.96 | |
| 90700 | <1% | 87 | $170.22 | |
| 90647 | <1% | 564 | $117.40 | |
| 90648 | <1% | 695 | $116.14 | |
| H0033 | Oral medication administration, direct observation | <1% | 62 | $110.00 |
| 90707 | <1% | 56 | $92.49 | |
| 90744 | <1% | 146 | $85.08 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | $14.50 |
| 99070 | <1% | 298 | $6.00 | |
| 90681 | 0% | 62 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 34 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 72 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 25 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Childsmiles, PA | Newark, NJ | $28.97M |
| Skolnick Dental Associates Spec LLC | Elizabeth, NJ | $22.10M |
| Child Smiles Spec LLC | Newark, NJ | $19.97M |
| Orange ST Dental Associates LLC | Newark, NJ | $12.81M |
| Skolnick Dental Associates INC | Elizabeth, NJ | $5.45M |
| Pearly Whites PA | Berkeley Heights, NJ | $5.39M |
| Railroad Plaza Dental Associates, LLC Dba Pearly Whites | Whippany, NJ | $3.19M |
| Ocean Ave Dental, LLC | Jersey City, NJ | $2.72M |
| Kearny Ave Dental LLC | Kearny, NJ | $1.88M |
| Bloomfield Ave Dental, LLC | Newark, NJ | $1.02M |
| Ocean Ave Dental Spec, LLC | Jersey City, NJ | $205K |
| Kearny Ave Dental Spec LLC | Kearny, NJ | $183K |
| Washington ST Pediatrics LLC | Newark, NJ | $179K |
| Railroad Plaza Dental Associates Spec LLC | Whippany, NJ | $94K |
| Bloomfield Ave Dental Spec, LLC | Newark, NJ | $72K |
| Ross M. Wezmar, DDS, PC | Reading, PA | $28K |
| Broadway Oral Surgery, LLC | Bayonne, NJ | $20K |
| SCS, LLC | Prince Frederick, MD | $204.63 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.