Somerset Pediatric Group, LLC

Somerset Pediatric Group, LLC was paid $2.51M by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

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	7,786	$294K
2019	7,105	$282K
2020	5,489	$190K
2021	9,392	$478K
2022	10,689	$515K
2023	9,107	$400K
2024incomplete	8,392	$351K

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	52%	22,505	21,413	$1.31M
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	26%	7,274	6,892	$641K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	4.5%	2,992	2,917	$114K
90460	Immunization administration through 18 years of age via any route, first or only component	4.4%	5,933	5,323	$112K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.5%	1,082	1,051	$89K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.6%	781	765	$66K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.6%	425	411	$39K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	2,015	1,953	$24K
90686		<1%	3,496	3,335	$20K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	2,335	2,280	$19K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	991	491	$10K
99050		<1%	485	475	$10K

28 more codes

99173		<1%	811	$9K
96127		<1%	2,375	$8K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	101	$8K
92587		<1%	385	$6K
87081		<1%	1,528	$4K
90656		<1%	308	$4K
G0444	Annual depression screening, 5 to 15 minutes	<1%	269	$4K
90651		<1%	25	$3K
99174		<1%	580	$3K
90677		<1%	13	$3K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	391	$1K
3008F		<1%	107	$980.00
90734		<1%	33	$944.10
90670		<1%	16	$664.72
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	13	$659.01
99051		<1%	254	$523.48
0001A		<1%	13	$493.67
0071A		<1%	12	$480.00
90461		<1%	110	$239.78
92558		<1%	108	$129.78
90648		<1%	63	$110.46
90633		<1%	32	$66.75
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	21	$30.76
90685		<1%	18	$23.23
91307		<1%	18	$17.00
94760		<1%	17	$13.80
91300		<1%	12	$12.00
99072		0%	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 officialPARLAVECCHIO, HOLLY (CHIEF ADMINISTRATIVE OFFICER)