Physician
Prime Pediatrics PC
Prime Pediatrics PC was paid $608K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoPRIME PEDIATRICS PC
IRVINGTON, NJ 07111
IRVINGTON, NJ 07111
33aNPI1316993850assigned 05/26/2006
33bProvider typePediatrics Physician
28Total paid$608K
24GClaims21,101
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#157 of 549
Median peer was paid$154K
This provider vs. median4.0×
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 | 3,849 | $118K | |
| 2019 | 4,159 | $122K | |
| 2020 | 2,602 | $78K | |
| 2021 | 2,594 | $77K | |
| 2022 | 3,069 | $76K | |
| 2023 | 2,855 | $81K | |
| 2024incomplete | 1,973 | $56K |
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 | 43% | 5,647 | 5,296 | $260K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 4,961 | 4,863 | $109K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 948 | 940 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 955 | 951 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 770 | 761 | $49K |
| 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 | 4.6% | 503 | 476 | $28K |
| 90461 | 2.5% | 845 | 832 | $15K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 162 | 159 | $10K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.2% | 1,267 | 1,266 | $7K |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 3,761 | 3,718 | $7K |
| 36406 | <1% | 88 | 87 | $1K | |
| 90686 | <1% | 913 | 885 | $941.00 |
11 more codes
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 officialJAFFERY, FATIMA (OWNER)