Monmouth Ocean Children's Heart Center, PA

Monmouth Ocean Children's Heart Center, PA was paid $160K by Medicaid between Jan 2018 and Jul 2023, across 8 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 53% of everything it billed.

33Billing provider infoMONMOUTH OCEAN CHILDREN'S HEART CENTER, PA
WALL TOWNSHIP, NJ 07719

33aNPI1306904420assigned 12/04/2006

33bProvider typePediatric Cardiology Physician

28Total paid$160K

24GClaims3,317

24DCodes billed8

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Pediatric Cardiology Physician providers in New Jersey

Rank by total paid#7 of 13

Median peer was paid$160K

This provider vs. median1.0×

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	502	$32K
2019	693	$37K
2020	524	$30K
2021	603	$36K
2022	623	$19K
2023	372	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	53%	1,027	856	$85K
93325		25%	1,142	953	$40K
93320		20%	1,013	845	$32K
99253		1.1%	26	25	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	18	16	$1K
93000		<1%	64	61	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	14	12	$382.90
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	13	12	$84.76

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 officialRIVERA, LOYDA (OWNER)