Pediatric Eyecare of Northern Jersey, P.C.
Pediatric Eyecare of Northern Jersey, P.C. was paid $13K by Medicaid between Apr 2018 and Aug 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoPEDIATRIC EYECARE OF NORTHERN JERSEY, P.C.
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
33aNPI1275818197assigned 10/12/2011
33bProvider typeSpecialist
28Total paid$13K
24GClaims1,263
24DCodes billed12
24AFirst – last monthApr 2018 – Aug 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#257 of 378
Median peer was paid$63K
This provider vs. median0.2×
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 | 157 | $248.86 | |
| 2019 | 456 | $305.37 | |
| 2021 | 63 | $421.97 | |
| 2022 | 264 | $6K | |
| 2023 | 218 | $5K | |
| 2024incomplete | 105 | $2K |
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 | 76% | 530 | 276 | $10K |
| 92134 | 15% | 211 | 76 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.5% | 12 | 12 | $1K |
| 92015 | Determination of refractive state | 1.3% | 13 | 13 | $180.28 |
| 1036F | 0% | 106 | 100 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | 12 | $0.00 |
| 1124F | 0% | 99 | 95 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 61 | 57 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 28 | 28 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 76 | 72 | $0.00 |
| 4040F | 0% | 102 | 87 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | 13 | $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 officialSONG, SUNNY (OFFICE MANAGER)