Medicaid Provider Spending

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

HARRISON PEDIATRIC CARE CENTER, P.A.

NPI: 1225163678 · HARRISON, NJ 07029 · Pediatrics Physician · NPI assigned 02/23/2007

$28K
Total Medicaid Paid
672
Total Claims
625
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialPALMIERY, PONCIANO (PRESIDENT)
NPI Enumeration Date02/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 672 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 331 293 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 113 108 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 95 92 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $844.38
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $783.87
90472 Immunization administration, each additional vaccine (list separately) 32 32 $515.39
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $115.82
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 13 13 $52.71
36415 Collection of venous blood by venipuncture 34 33 $50.98
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 14 14 $24.98