Physician
Bayonne Pediatric Practice
Bayonne Pediatric Practice was paid $547K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoBAYONNE PEDIATRIC PRACTICE
BAYONNE, NJ 07002
BAYONNE, NJ 07002
33aNPI1427416304assigned 02/05/2016
33bProvider typePediatrics Physician
28Total paid$547K
24GClaims15,268
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#172 of 549
Median peer was paid$154K
This provider vs. median3.6×
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 | 2,821 | $105K | |
| 2019 | 2,447 | $91K | |
| 2020 | 1,740 | $63K | |
| 2021 | 1,646 | $71K | |
| 2022 | 2,553 | $91K | |
| 2023 | 2,850 | $84K | |
| 2024incomplete | 1,211 | $44K |
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 | 77% | 8,023 | 6,092 | $420K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 1,715 | 1,670 | $38K |
| 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 | 3.2% | 232 | 223 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 180 | 179 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 153 | 153 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 705 | 397 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.4% | 391 | 366 | $8K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.3% | 490 | 474 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 40 | 40 | $3K |
| 99173 | <1% | 999 | 985 | $3K | |
| 90686 | <1% | 400 | 375 | $2K | |
| 3008F | <1% | 488 | 464 | $2K |
10 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 228 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 170 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 608 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $1K |
| 96127 | <1% | 311 | $699.27 | |
| 92551 | <1% | 52 | $482.08 | |
| 90661 | <1% | 13 | $333.30 | |
| 90688 | <1% | 15 | $257.10 | |
| 86580 | <1% | 13 | $50.06 |
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 officialRAGHU, SHALINI (OWNER)