Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIARIC CENTER 2000 INC

NPI: 1215179312 · NEWARK, NJ 07107 · Pediatric Adolescent Medicine Physician · NPI assigned 04/03/2009

$1.27M
Total Medicaid Paid
49,484
Total Claims
47,299
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialORTEGA, JESUS (PRESIDENT)
NPI Enumeration Date04/03/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,787 $306K
2019 10,567 $295K
2020 8,791 $246K
2021 6,716 $196K
2022 10,464 $204K
2023 2,074 $27K
2024 85 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,056 10,556 $484K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,535 2,497 $147K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,503 2,474 $144K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,892 1,875 $108K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,918 7,807 $100K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,410 1,354 $78K
90472 Immunization administration, each additional vaccine (list separately) 2,841 2,798 $57K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 443 433 $32K
90649 394 386 $26K
3008F 5,482 5,406 $20K
99188 782 772 $16K
36406 676 673 $12K
83655 1,117 1,106 $11K
36415 Collection of venous blood by venipuncture 4,555 4,472 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 760 758 $10K
90733 121 113 $6K
99050 629 621 $5K
90686 804 791 $4K
86580 794 793 $3K
90670 290 262 $873.59
90700 355 324 $401.53
90716 75 69 $394.03
90713 293 265 $277.95
90680 171 149 $180.88
90707 59 54 $146.04
90620 36 36 $135.41
90648 291 263 $83.05
90633 46 45 $74.90
90685 104 102 $67.34
90744 52 45 $51.19