Physician
Nemours New Jersey Physician Practice, P.C.
Nemours New Jersey Physician Practice, P.C. was paid $1.45M by Medicaid between Jan 2018 and Oct 2024, across 42 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 16% of everything it billed.
33Billing provider infoNEMOURS NEW JERSEY PHYSICIAN PRACTICE, P.C.
DEPTFORD, NJ 08096
DEPTFORD, NJ 08096
33aNPI1265874713assigned 07/25/2013
33bProvider typePediatrics Physician
28Total paid$1.45M
24GClaims26,422
24DCodes billed42
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#87 of 549
Median peer was paid$154K
This provider vs. median9.4×
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 | 2,704 | $116K | |
| 2019 | 2,842 | $115K | |
| 2020 | 2,882 | $178K | |
| 2021 | 5,517 | $318K | |
| 2022 | 5,949 | $375K | |
| 2023 | 5,223 | $303K | |
| 2024incomplete | 1,305 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 2,897 | 2,855 | $235K |
| 92586 | 11% | 3,736 | 3,679 | $163K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 11% | 1,677 | 1,653 | $162K |
| 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 | 10% | 2,096 | 2,073 | $150K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 1,516 | 1,401 | $96K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 6.5% | 1,065 | 366 | $94K |
| 92651 | 6.4% | 1,406 | 1,322 | $93K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.0% | 1,601 | 1,436 | $73K |
| 99464 | 4.9% | 1,244 | 1,198 | $71K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.5% | 5,339 | 5,029 | $51K |
| 99460 | 3.5% | 335 | 307 | $51K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 3.2% | 205 | 68 | $46K |
30 more codes
| 93000 | 2.1% | 977 | $30K | |
| 99205 | Prolong outpt/office vis | 1.9% | 214 | $28K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 197 | $16K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 140 | $13K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 510 | $11K |
| 99284 | Emergency room visit (serious) | <1% | 95 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 135 | $10K |
| 99283 | Emergency room visit (moderate) | <1% | 159 | $9K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 43 | $9K |
| 99462 | <1% | 135 | $3K | |
| 93325 | <1% | 92 | $3K | |
| 93320 | <1% | 42 | $3K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 13 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 42 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 106 | $2K |
| 76770 | <1% | 65 | $2K | |
| 00126 | <1% | 24 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $1K |
| 94664 | <1% | 55 | $875.04 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 14 | $599.64 |
| 99221 | <1% | 12 | $562.90 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $497.58 |
| 97803 | <1% | 12 | $469.80 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 13 | $426.80 |
| 96160 | <1% | 84 | $292.38 | |
| 92650 | <1% | 20 | $246.39 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $244.80 |
| 92015 | Determination of refractive state | <1% | 33 | $178.30 |
| 82962 | <1% | 14 | $8.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 14 | $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 officialMUMFORD, MARK (EVP, COO)
| Provider | Location | Paid |
|---|---|---|
| The Nemours Foundation | Wilmington, DE | $172.06M |
| The Nemours Foundation | Wilmington, DE | $104.02M |
| The Nemours Foundation | Philadelphia, PA | $5.85M |
| The Nemours Foundation | Deptford, NJ | $97K |
| The Nemours Foundation | Wilmington, DE | $65K |
| The Nemours Foundation | Wilmington, DE | $22K |
| The Nemours Foundation | Wilmington, DE | $6K |
| The Nemours Foundation | New Castle, DE | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.