Physician
Integrative Pediatric and Adolescent Care
Integrative Pediatric and Adolescent Care was paid $778K by Medicaid between Jun 2020 and Oct 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoINTEGRATIVE PEDIATRIC AND ADOLESCENT CARE
HACKETTSTOWN, NJ 07840
HACKETTSTOWN, NJ 07840
33aNPI1386281459assigned 12/07/2019
33bProvider typePediatrics Physician
28Total paid$778K
24GClaims22,385
24DCodes billed30
24AFirst – last monthJun 2020 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#133 of 549
Median peer was paid$154K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2020 | 1,999 | $54K | |
| 2021 | 4,648 | $182K | |
| 2022 | 6,871 | $241K | |
| 2023 | 5,712 | $192K | |
| 2024incomplete | 3,155 | $109K |
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 | 35% | 5,177 | 4,417 | $275K |
| 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 | 19% | 1,836 | 1,695 | $150K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.3% | 1,500 | 1,362 | $57K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 584 | 574 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 541 | 533 | $48K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 1,793 | 1,716 | $44K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.1% | 1,509 | 1,468 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 340 | 297 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 234 | 231 | $23K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.5% | 306 | 284 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 571 | 533 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 923 | 878 | $11K |
18 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 282 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 679 | $7K |
| 90686 | <1% | 926 | $4K | |
| 90461 | <1% | 333 | $4K | |
| 96160 | <1% | 2,103 | $3K | |
| 99383 | <1% | 42 | $3K | |
| 96127 | <1% | 772 | $3K | |
| 99173 | <1% | 1,355 | $2K | |
| 90670 | <1% | 49 | $815.09 | |
| 90700 | <1% | 232 | $757.20 | |
| 90713 | <1% | 126 | $551.96 | |
| 90734 | <1% | 17 | $288.36 | |
| 90648 | <1% | 84 | $135.10 | |
| 90633 | <1% | 12 | $110.76 | |
| 90715 | <1% | 13 | $100.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $22.56 |
| 96161 | <1% | 14 | $21.00 | |
| 99072 | 0% | 19 | $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 officialSETYA, SHILPY (PRESIDENT)