Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FOUNDATION PEDIATRICS

NPI: 1356387286 · EAST ORANGE, NJ 07018 · Pediatrics Physician · NPI assigned 06/20/2006

$2.15M
Total Medicaid Paid
88,725
Total Claims
76,950
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOSUNMU, RONKE (OWNER)
NPI Enumeration Date06/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 14,250 $353K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,246 10,365 $642K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,077 3,548 $298K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,103 2,831 $240K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,475 2,251 $187K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,015 1,731 $132K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,455 1,338 $126K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,728 8,293 $100K
90472 Immunization administration, each additional vaccine (list separately) 5,160 4,340 $88K
90460 Immunization administration through 18 years of age via any route, first or only component 2,538 2,440 $63K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,469 3,972 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 877 837 $32K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,088 1,035 $21K
90651 346 279 $16K
99383 151 151 $11K
99188 780 718 $11K
92551 1,211 1,107 $11K
90677 61 61 $10K
96127 3,693 3,227 $10K
90619 120 111 $9K
90686 2,877 2,338 $8K
90671 120 103 $8K
90461 705 696 $6K
90670 966 685 $6K
99173 4,480 3,841 $6K
36416 1,901 1,325 $5K
90716 548 418 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 180 142 $5K
83655 1,310 846 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 377 364 $4K
97803 2,185 1,941 $3K
90700 2,065 1,565 $3K
90713 1,547 1,183 $3K
90474 264 238 $3K
96160 1,440 1,320 $2K
3008F 716 716 $2K
36415 Collection of venous blood by venipuncture 1,095 1,052 $2K
99384 30 30 $2K
90707 493 350 $2K
0072A 57 55 $2K
99177 488 487 $2K
0071A 63 63 $2K
90661 239 237 $2K
90633 734 536 $2K
99381 28 28 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 150 96 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26 26 $1K
92583 63 45 $1K
99174 514 493 $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) 256 243 $1K
99382 12 12 $896.80
90715 95 90 $788.26
99051 399 373 $729.25
90656 420 420 $710.03
90648 1,052 778 $510.32
0001A 12 12 $510.00
90680 239 164 $433.26
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 37 37 $428.73
90744 390 265 $312.76
99000 4,594 3,850 $274.89
90734 53 37 $268.39
96161 80 79 $165.28
85018 96 61 $41.80
91307 163 145 $39.00
90658 27 27 $31.28
G8510 Screening for depression is documented as negative, a follow-up plan is not required 516 473 $2.00
91300 30 30 $1.00