Medicaid Provider Spending

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

SANTA CLARA PEDIATRIC CORPORATION

NPI: 1285880047 · NORTH BERGEN, NJ 07047 · Pediatrics Physician · NPI assigned 08/13/2008

$1.92M
Total Medicaid Paid
86,728
Total Claims
73,410
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEGUINO CONDE, DAMARIS (MEDICINE DOCTOR)
NPI Enumeration Date08/13/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,199 $327K
2019 10,170 $297K
2020 9,325 $240K
2021 9,612 $264K
2022 17,119 $303K
2023 20,442 $368K
2024 9,861 $122K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,058 18,060 $910K
90460 Immunization administration through 18 years of age via any route, first or only component 16,546 11,129 $202K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,606 3,383 $188K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,237 3,042 $168K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,895 1,767 $97K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,678 1,525 $90K
90461 3,976 3,256 $56K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,049 934 $56K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,439 1,387 $27K
90671 209 161 $20K
92551 1,205 1,132 $10K
90651 242 218 $9K
90656 1,822 1,680 $8K
90670 950 768 $8K
92558 4,203 3,950 $7K
90620 171 157 $6K
92588 178 178 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 73 72 $5K
99173 4,551 3,950 $4K
90649 184 140 $4K
92552 316 284 $4K
97802 1,111 1,073 $4K
90734 256 217 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 391 357 $4K
90686 1,648 1,461 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 77 72 $2K
36416 415 374 $2K
90716 220 164 $2K
90710 69 65 $2K
96127 1,047 857 $2K
90723 689 619 $1K
99381 40 26 $1K
90633 716 601 $1K
86580 276 249 $1K
90707 148 110 $741.51
96160 805 730 $605.06
90696 110 88 $565.93
90715 101 84 $547.58
90648 1,065 872 $470.47
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 64 60 $431.85
90655 150 150 $410.55
90700 124 107 $341.39
90680 510 396 $185.63
94761 6,485 6,019 $103.21
99401 47 44 $52.98
83655 94 85 $52.62
87081 133 114 $34.07
91300 13 13 $0.00
99080 1,231 1,147 $0.00
90713 16 16 $0.00
99000 89 67 $0.00