Galloway Pediatrics
Galloway Pediatrics was paid $104K by Medicaid between Jan 2018 and Oct 2021, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoGALLOWAY PEDIATRICS
GALLOWAY, NJ 08205
GALLOWAY, NJ 08205
33aNPI1396877536assigned 03/12/2007
33bProvider typeSpecialist
28Total paid$104K
24GClaims2,957
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#165 of 378
Median peer was paid$63K
This provider vs. median1.7×
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 | 970 | $36K | |
| 2019 | 996 | $35K | |
| 2020 | 510 | $18K | |
| 2021 | 481 | $15K |
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 | 60% | 1,290 | 1,171 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 163 | 162 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 11% | 785 | 771 | $11K |
| 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 | 6.3% | 90 | 86 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.1% | 228 | 221 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 13 | 12 | $1K |
| 90688 | <1% | 41 | 41 | $692.07 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 90 | 89 | $613.80 |
| 99173 | <1% | 245 | 245 | $609.54 | |
| 96127 | <1% | 12 | 12 | $27.96 |
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 officialLOPEZ-BERNARD, EDWIN (OWNER)