Universal Pediatrics, INC.
Universal Pediatrics, INC. was paid $941K by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoUNIVERSAL PEDIATRICS, INC.
ORANGE, NJ 07050
ORANGE, NJ 07050
33aNPI1427146760assigned 10/11/2006
33bProvider typeSpecialist
28Total paid$941K
24GClaims47,512
24DCodes billed62
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#59 of 378
Median peer was paid$63K
This provider vs. median15×
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 | 3,833 | $81K | |
| 2019 | 7,910 | $153K | |
| 2020 | 6,417 | $125K | |
| 2021 | 6,894 | $118K | |
| 2022 | 8,938 | $164K | |
| 2023 | 8,135 | $173K | |
| 2024incomplete | 5,385 | $127K |
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 | 18% | 6,713 | 5,768 | $170K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 6,297 | 4,913 | $117K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 1,807 | 1,761 | $94K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 1,744 | 1,665 | $94K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 1,236 | 1,190 | $65K |
| 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 | 6.7% | 1,672 | 1,531 | $63K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.4% | 3,111 | 2,822 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 871 | 829 | $44K |
| 90461 | 3.5% | 1,852 | 1,650 | $33K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 1,909 | 1,839 | $30K |
| 90671 | 2.6% | 265 | 236 | $24K | |
| 99188 | 2.3% | 1,192 | 1,150 | $22K |
50 more codes
| 92587 | 1.8% | 750 | $17K | |
| S9451 | Exercise classes, non-physician provider, per session | 1.4% | 762 | $13K |
| 3008F | 1.2% | 4,419 | $12K | |
| 90697 | 1.0% | 125 | $10K | |
| 90651 | 1.0% | 268 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 721 | $9K |
| 90619 | <1% | 114 | $8K | |
| 90686 | <1% | 1,315 | $5K | |
| 90670 | <1% | 271 | $3K | |
| 90480 | <1% | 83 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 324 | $3K |
| 99174 | <1% | 358 | $3K | |
| 83655 | <1% | 924 | $3K | |
| 0071A | <1% | 73 | $3K | |
| 97802 | <1% | 1,919 | $3K | |
| 90688 | <1% | 279 | $2K | |
| 0001A | <1% | 64 | $2K | |
| 96127 | <1% | 1,622 | $2K | |
| 96160 | <1% | 1,743 | $2K | |
| 0124A | <1% | 47 | $2K | |
| 99403 | <1% | 150 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $1K |
| 90633 | <1% | 299 | $943.24 | |
| 36416 | <1% | 246 | $848.60 | |
| 90710 | <1% | 12 | $842.13 | |
| 0072A | <1% | 16 | $565.47 | |
| 36406 | <1% | 45 | $502.25 | |
| 0081A | <1% | 14 | $496.41 | |
| 0154A | <1% | 14 | $459.31 | |
| 0002A | <1% | 12 | $357.24 | |
| 90715 | <1% | 39 | $348.55 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 35 | $264.25 |
| 90696 | <1% | 13 | $235.32 | |
| 90672 | <1% | 107 | $187.43 | |
| 99402 | <1% | 17 | $181.60 | |
| 90661 | <1% | 13 | $160.97 | |
| 90716 | <1% | 29 | $153.47 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 105 | $92.94 |
| 90700 | <1% | 15 | $60.04 | |
| 91308 | <1% | 67 | $14.00 | |
| 91300 | <1% | 65 | $8.00 | |
| 91307 | <1% | 118 | $5.00 | |
| 3078F | <1% | 346 | $3.00 | |
| 3074F | <1% | 349 | $3.00 | |
| 91312 | <1% | 51 | $1.00 | |
| 99072 | 0% | 242 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 14 | $0.00 |
| 90680 | 0% | 116 | $0.00 | |
| 91305 | 0% | 74 | $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 officialNNAETO, NKEM (OWNER)