Physician
Children's Specialized Hospital
Children's Specialized Hospital was paid $199.94M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 21% of everything it billed.
33Billing provider infoCHILDREN'S SPECIALIZED HOSPITAL
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
33aNPI1396886297assigned 02/12/2007
33bProvider typePediatrics Physician
28Total paid$199.94M
24GClaims1,071,305
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#1 of 549
Median peer was paid$154K
This provider vs. median1,301×
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 | 141,151 | $27.24M | |
| 2019 | 144,611 | $29.39M | |
| 2020 | 139,293 | $28.76M | |
| 2021 | 152,975 | $28.89M | |
| 2022 | 166,375 | $29.93M | |
| 2023 | 182,518 | $33.94M | |
| 2024incomplete | 144,382 | $21.79M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 21% | 238,599 | 78,352 | $41.92M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 20% | 180,416 | 61,384 | $40.45M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.0% | 84,009 | 35,577 | $15.91M |
| 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 | 7.4% | 61,119 | 59,660 | $14.71M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.2% | 35,337 | 34,339 | $10.39M |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 4.8% | 102,605 | 32,524 | $9.63M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 3.2% | 78,525 | 27,620 | $6.33M |
| 92523 | 3.1% | 20,043 | 19,683 | $6.17M | |
| 99205 | Prolong outpt/office vis | 2.4% | 10,430 | 10,068 | $4.84M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.1% | 11,548 | 11,268 | $4.20M |
| 96137 | 1.9% | 4,560 | 3,952 | $3.85M | |
| 92526 | 1.7% | 15,892 | 6,118 | $3.46M |
93 more codes
| 97535 | Self-care/home management training, each 15 minutes | 1.4% | 21,207 | $2.88M |
| 97165 | 1.4% | 9,664 | $2.85M | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.4% | 15,287 | $2.74M |
| 97166 | 1.1% | 7,915 | $2.26M | |
| 97161 | 1.1% | 7,889 | $2.14M | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 3,074 | $1.98M |
| 97116 | <1% | 16,689 | $1.50M | |
| 96130 | <1% | 6,286 | $1.46M | |
| 96131 | <1% | 3,496 | $1.30M | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 14,589 | $1.29M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 9,292 | $1.20M |
| 99417 | Prolong home eval add 15m | <1% | 7,316 | $1.17M |
| 92610 | <1% | 3,217 | $1.05M | |
| 90785 | <1% | 2,945 | $1.01M | |
| 96136 | <1% | 4,494 | $992K | |
| 97162 | <1% | 3,621 | $932K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,788 | $796K |
| 92579 | <1% | 3,085 | $754K | |
| 92557 | <1% | 2,561 | $748K | |
| 90837 | Psychotherapy session, about an hour | <1% | 2,770 | $706K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,732 | $620K |
| 92587 | <1% | 4,059 | $616K | |
| 96101 | <1% | 647 | $594K | |
| 97129 | <1% | 2,557 | $486K | |
| 97802 | <1% | 3,411 | $472K | |
| 97542 | <1% | 3,161 | $465K | |
| 92567 | <1% | 5,445 | $458K | |
| 97803 | <1% | 4,786 | $455K | |
| 99354 | <1% | 1,754 | $339K | |
| 97168 | <1% | 1,065 | $311K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 5,365 | $307K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 2,632 | $282K |
| 97139 | <1% | 1,876 | $274K | |
| 29405 | <1% | 2,821 | $263K | |
| 92620 | <1% | 1,222 | $227K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,278 | $218K |
| 97127 | <1% | 979 | $192K | |
| 97164 | <1% | 652 | $177K | |
| Q4040 | Cast supplies, short leg cast, pediatric (0-10 years), fiberglass | <1% | 2,958 | $171K |
| 92621 | <1% | 1,207 | $171K | |
| 97113 | <1% | 993 | $163K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,712 | $97K |
| OP960 | <1% | 911 | $90K | |
| 92550 | <1% | 1,268 | $88K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 537 | $74K |
| 97130 | <1% | 2,556 | $72K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 414 | $69K |
| 92552 | <1% | 526 | $66K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 398 | $63K |
| 96116 | <1% | 149 | $54K | |
| 92555 | <1% | 718 | $34K | |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 164 | $33K |
| 76942 | <1% | 109 | $33K | |
| 97755 | <1% | 176 | $30K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,575 | $30K |
| 96132 | <1% | 200 | $24K | |
| 96111 | <1% | 58 | $24K | |
| 97750 | <1% | 287 | $20K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 62 | $20K |
| 97032 | <1% | 402 | $19K | |
| 29125 | <1% | 118 | $18K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 589 | $15K |
| 92556 | <1% | 216 | $11K | |
| 99000 | <1% | 727 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 586 | $11K |
| 99443 | <1% | 204 | $9K | |
| 92551 | <1% | 85 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 218 | $7K |
| 90658 | <1% | 3,234 | $6K | |
| L3260 | Surgical boot/shoe, each | <1% | 309 | $4K |
| 94760 | <1% | 368 | $4K | |
| 99173 | <1% | 92 | $3K | |
| 97167 | <1% | 12 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 46 | $3K |
| Q4051 | Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) | <1% | 117 | $3K |
| 92608 | <1% | 12 | $2K | |
| 90887 | <1% | 19 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $1K |
| 99177 | <1% | 329 | $1K | |
| 92558 | <1% | 283 | $903.04 | |
| 96127 | <1% | 1,075 | $710.00 | |
| OP940 | <1% | 47 | $608.38 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $435.13 |
| 99442 | <1% | 12 | $433.52 | |
| 92607 | <1% | 12 | $327.64 | |
| 90656 | <1% | 343 | $275.46 | |
| 95873 | <1% | 12 | $216.18 | |
| 90715 | <1% | 13 | $173.91 | |
| 90734 | <1% | 30 | $148.87 | |
| 90716 | <1% | 19 | $146.40 | |
| 90651 | <1% | 36 | $23.00 |
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 officialSWENARTON, GERIANN (VP & SITE FINANCIAL OFFICER)
Parent organizationRWJ BARNABAS HEALTH INC