Physician
Washington ST Pediatrics LLC
Washington ST Pediatrics LLC was paid $179K by Medicaid between Jan 2022 and May 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoWASHINGTON ST PEDIATRICS LLC
NEWARK, NJ 07107
NEWARK, NJ 07107
33aNPI1427640440assigned 02/10/2021
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$179K
24GClaims16,380
24DCodes billed42
24AFirst – last monthJan 2022 – May 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New Jersey
Rank by total paid#28 of 56
Median peer was paid$178K
This provider vs. median1.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SKOLNICK, MICHAEL controls 18+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2022 | 7,348 | $116K | |
| 2024incomplete | 9,032 | $64K |
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 | 70% | 4,443 | 3,182 | $125K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.5% | 1,077 | 857 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 279 | 221 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 572 | 408 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 207 | 157 | $6K |
| 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 | 3.0% | 183 | 119 | $5K |
| 36415 | Collection of venous blood by venipuncture | 1.6% | 1,794 | 1,281 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 77 | 63 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 332 | 160 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 56 | 46 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 447 | 124 | $1K |
| 99383 | <1% | 42 | 33 | $1K |
30 more codes
| 90734 | <1% | 144 | $719.64 | |
| 86580 | <1% | 181 | $712.80 | |
| 3008F | <1% | 1,753 | $670.00 | |
| 83655 | <1% | 105 | $620.00 | |
| 92551 | <1% | 159 | $489.53 | |
| 90671 | <1% | 116 | $482.58 | |
| 92587 | <1% | 44 | $480.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $396.40 |
| 90656 | <1% | 152 | $374.61 | |
| 90620 | <1% | 72 | $225.75 | |
| 99177 | <1% | 164 | $223.85 | |
| 90651 | <1% | 57 | $168.97 | |
| 99188 | <1% | 16 | $130.00 | |
| 36406 | <1% | 27 | $89.52 | |
| 97803 | <1% | 1,750 | $67.50 | |
| 36410 | <1% | 56 | $57.12 | |
| 99000 | <1% | 1,479 | $54.34 | |
| 90633 | <1% | 116 | $40.33 | |
| H0033 | Oral medication administration, direct observation | <1% | 36 | $40.00 |
| 90700 | <1% | 19 | $30.73 | |
| 99173 | <1% | 187 | $10.00 | |
| 99174 | <1% | 22 | $7.45 | |
| 90716 | <1% | 29 | $2.00 | |
| 90647 | <1% | 38 | $1.00 | |
| 90707 | <1% | 13 | $1.00 | |
| 90698 | 0% | 13 | $0.00 | |
| 90723 | 0% | 17 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 14 | $0.00 |
| 87400 | 0% | 63 | $0.00 | |
| 90670 | 0% | 13 | $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 officialSKOLNICK, MICHAEL (OWNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.