Bayshore Pediatrics,l.L.C.
Bayshore Pediatrics,l.L.C. was paid $506K by Medicaid between Jan 2018 and Aug 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoBAYSHORE PEDIATRICS,L.L.C.
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
33aNPI1285775726assigned 02/09/2007
33bProvider typeSpecialist
28Total paid$506K
24GClaims9,829
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#91 of 378
Median peer was paid$63K
This provider vs. median8.1×
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 | 1,793 | $102K | |
| 2019 | 1,739 | $94K | |
| 2020 | 1,214 | $62K | |
| 2021 | 1,336 | $69K | |
| 2022 | 1,642 | $84K | |
| 2023 | 1,448 | $64K | |
| 2024incomplete | 657 | $31K |
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 | 53% | 5,347 | 4,453 | $269K |
| 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 | 34% | 2,502 | 2,336 | $174K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 1,351 | 1,273 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 243 | 241 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 221 | 221 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 45 | 45 | $3K |
| 90461 | <1% | 28 | 26 | $540.00 | |
| 90686 | <1% | 92 | 85 | $324.57 |
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 officialHAMZA, HISHAM (OWNER)