Physician
Hackettstown Pediatrics, LLC
Hackettstown Pediatrics, LLC was paid $1.33M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoHACKETTSTOWN PEDIATRICS, LLC
HACKETTSTOWN, NJ 07840
HACKETTSTOWN, NJ 07840
33aNPI1316211915assigned 02/28/2012
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.33M
24GClaims34,132
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New Jersey
Rank by total paid#15 of 56
Median peer was paid$178K
This provider vs. median7.5×
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 | 5,421 | $218K | |
| 2019 | 5,013 | $205K | |
| 2020 | 3,955 | $156K | |
| 2021 | 3,940 | $165K | |
| 2022 | 5,457 | $218K | |
| 2023 | 5,869 | $206K | |
| 2024incomplete | 4,477 | $163K |
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 | 37% | 10,386 | 9,259 | $490K |
| 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 | 30% | 6,156 | 5,868 | $396K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.9% | 1,368 | 1,364 | $105K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 1,243 | 1,236 | $98K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.3% | 6,678 | 6,528 | $97K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 667 | 620 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 467 | 467 | $41K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 2,814 | 2,756 | $27K |
| 90686 | <1% | 1,086 | 1,074 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,086 | 1,045 | $7K |
| 99173 | <1% | 1,488 | 1,481 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 125 | 122 | $2K |
11 more codes
| 90619 | <1% | 54 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 141 | $2K |
| 90670 | <1% | 59 | $1K | |
| 90671 | <1% | 37 | $621.47 | |
| 90698 | <1% | 109 | $596.70 | |
| 90715 | <1% | 39 | $486.10 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $282.25 |
| 96127 | <1% | 73 | $167.90 | |
| 90716 | <1% | 12 | $101.56 | |
| 90707 | <1% | 12 | $58.73 | |
| 90680 | 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 officialCARPENTER, TERRI (OFFICE MANAGER)