Clinic
Hawthorne Pediatrics, LLC
Hawthorne Pediatrics, LLC was paid $3.17M by Medicaid between May 2019 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoHAWTHORNE PEDIATRICS, LLC
HAWTHORNE, NJ 07506
HAWTHORNE, NJ 07506
33aNPI1336525260assigned 08/03/2015
33bProvider typeClinic/Center
28Total paid$3.17M
24GClaims74,876
24DCodes billed67
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in New Jersey
Rank by total paid#15 of 97
Median peer was paid$318K
This provider vs. median10.0×
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 | |
|---|---|---|---|
| 2019 | 601 | $26K | |
| 2020 | 7,695 | $350K | |
| 2021 | 10,833 | $516K | |
| 2022 | 15,992 | $707K | |
| 2023 | 23,156 | $919K | |
| 2024incomplete | 16,599 | $647K |
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% | 16,476 | 14,647 | $1.18M |
| 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 | 18% | 5,826 | 5,242 | $581K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 4,183 | 4,071 | $403K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 3,711 | 3,306 | $306K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 1,819 | 1,757 | $173K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 7,705 | 7,442 | $90K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 3,676 | 3,568 | $58K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 526 | 501 | $55K |
| 92551 | 1.5% | 4,275 | 4,000 | $47K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 1,068 | 940 | $45K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 593 | 561 | $32K |
| 99460 | <1% | 511 | 481 | $25K |
55 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,052 | $24K |
| 90677 | <1% | 593 | $21K | |
| 99462 | <1% | 648 | $16K | |
| 90670 | <1% | 1,396 | $14K | |
| 90697 | <1% | 136 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,261 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 615 | $8K |
| 90686 | <1% | 3,652 | $8K | |
| 90461 | <1% | 168 | $5K | |
| 96112 | <1% | 41 | $4K | |
| 99173 | <1% | 3,739 | $4K | |
| 96127 | <1% | 554 | $4K | |
| 90474 | <1% | 298 | $3K | |
| 90698 | <1% | 595 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 217 | $3K |
| 90633 | <1% | 858 | $3K | |
| 36406 | <1% | 163 | $2K | |
| 99381 | <1% | 29 | $2K | |
| 99383 | <1% | 17 | $2K | |
| 90734 | <1% | 64 | $2K | |
| 90716 | <1% | 169 | $2K | |
| 90380 | <1% | 28 | $1K | |
| 83015 | <1% | 725 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 106 | $1K |
| 90651 | <1% | 66 | $1K | |
| 81025 | <1% | 174 | $1K | |
| 0071A | <1% | 32 | $1K | |
| 0072A | <1% | 21 | $760.00 | |
| 90688 | <1% | 55 | $706.70 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 31 | $705.62 |
| 96160 | <1% | 545 | $691.32 | |
| 96380 | <1% | 46 | $669.08 | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 30 | $569.77 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 58 | $505.48 |
| 96161 | <1% | 237 | $491.08 | |
| 90707 | <1% | 88 | $387.79 | |
| 90723 | <1% | 97 | $360.20 | |
| 81002 | <1% | 937 | $307.97 | |
| 90681 | <1% | 488 | $300.56 | |
| 90710 | <1% | 24 | $295.37 | |
| 99051 | <1% | 146 | $227.52 | |
| 99188 | <1% | 13 | $180.00 | |
| 90715 | <1% | 31 | $143.57 | |
| 90656 | <1% | 272 | $134.70 | |
| 83655 | <1% | 413 | $99.84 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $69.54 |
| 90696 | <1% | 26 | $55.91 | |
| 99000 | <1% | 2,031 | $47.20 | |
| 90661 | <1% | 77 | $0.01 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 17 | $0.00 |
| 90672 | 0% | 14 | $0.00 | |
| 99072 | 0% | 36 | $0.00 | |
| 90647 | 0% | 227 | $0.00 | |
| 91307 | 0% | 47 | $0.00 | |
| 97802 | 0% | 91 | $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 officialVASENA MARENGO, MARIA (OWNER)