Physician
Foundation Pediatrics
Foundation Pediatrics was paid $2.15M by Medicaid between Jan 2018 and Nov 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoFOUNDATION PEDIATRICS
EAST ORANGE, NJ 07018
EAST ORANGE, NJ 07018
33aNPI1356387286assigned 06/20/2006
33bProvider typePediatrics Physician
28Total paid$2.15M
24GClaims88,725
24DCodes billed66
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#63 of 549
Median peer was paid$154K
This provider vs. median14×
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 | 8,844 | $236K | |
| 2019 | 11,737 | $283K | |
| 2020 | 8,962 | $252K | |
| 2021 | 8,454 | $254K | |
| 2022 | 18,490 | $338K | |
| 2023 | 17,988 | $430K | |
| 2024incomplete | 14,250 | $353K |
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 | 30% | 11,246 | 10,365 | $642K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 4,077 | 3,548 | $298K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 3,103 | 2,831 | $240K |
| 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 | 8.7% | 2,475 | 2,251 | $187K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 2,015 | 1,731 | $132K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 1,455 | 1,338 | $126K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.6% | 9,728 | 8,293 | $100K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.1% | 5,160 | 4,340 | $88K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 2,538 | 2,440 | $63K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 4,469 | 3,972 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 877 | 837 | $32K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,088 | 1,035 | $21K |
54 more codes
| 90651 | <1% | 346 | $16K | |
| 99383 | <1% | 151 | $11K | |
| 99188 | <1% | 780 | $11K | |
| 92551 | <1% | 1,211 | $11K | |
| 90677 | <1% | 61 | $10K | |
| 96127 | <1% | 3,693 | $10K | |
| 90619 | <1% | 120 | $9K | |
| 90686 | <1% | 2,877 | $8K | |
| 90671 | <1% | 120 | $8K | |
| 90461 | <1% | 705 | $6K | |
| 90670 | <1% | 966 | $6K | |
| 99173 | <1% | 4,480 | $6K | |
| 36416 | <1% | 1,901 | $5K | |
| 90716 | <1% | 548 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 180 | $5K |
| 83655 | <1% | 1,310 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 377 | $4K |
| 97803 | <1% | 2,185 | $3K | |
| 90700 | <1% | 2,065 | $3K | |
| 90713 | <1% | 1,547 | $3K | |
| 90474 | <1% | 264 | $3K | |
| 96160 | <1% | 1,440 | $2K | |
| 3008F | <1% | 716 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,095 | $2K |
| 99384 | <1% | 30 | $2K | |
| 90707 | <1% | 493 | $2K | |
| 0072A | <1% | 57 | $2K | |
| 99177 | <1% | 488 | $2K | |
| 0071A | <1% | 63 | $2K | |
| 90661 | <1% | 239 | $2K | |
| 90633 | <1% | 734 | $2K | |
| 99381 | <1% | 28 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 150 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $1K |
| 92583 | <1% | 63 | $1K | |
| 99174 | <1% | 514 | $1K | |
| 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% | 256 | $1K |
| 99382 | <1% | 12 | $896.80 | |
| 90715 | <1% | 95 | $788.26 | |
| 99051 | <1% | 399 | $729.25 | |
| 90656 | <1% | 420 | $710.03 | |
| 90648 | <1% | 1,052 | $510.32 | |
| 0001A | <1% | 12 | $510.00 | |
| 90680 | <1% | 239 | $433.26 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 37 | $428.73 |
| 90744 | <1% | 390 | $312.76 | |
| 99000 | <1% | 4,594 | $274.89 | |
| 90734 | <1% | 53 | $268.39 | |
| 96161 | <1% | 80 | $165.28 | |
| 85018 | <1% | 96 | $41.80 | |
| 91307 | <1% | 163 | $39.00 | |
| 90658 | <1% | 27 | $31.28 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 516 | $2.00 |
| 91300 | <1% | 30 | $1.00 |
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 officialDOSUNMU, RONKE (OWNER)