Pediatric Orthopedic Associates, P.A.

Pediatric Orthopedic Associates, P.A. was paid $1.52M by Medicaid between Jan 2018 and Oct 2019, across 24 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 41% of everything it billed.

33Billing provider infoPEDIATRIC ORTHOPEDIC ASSOCIATES, P.A.
EAST BRUNSWICK, NJ 08816

33aNPI1528017654assigned 05/08/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$1.52M

24GClaims17,113

24DCodes billed24

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Orthopaedic Surgery Physician providers in New Jersey

Rank by total paid#8 of 61

Median peer was paid$50K

This provider vs. median30×

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	9,554	$847K
2019	7,559	$669K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	41%	5,015	5,009	$617K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	7,250	7,017	$546K
25600		9.5%	395	384	$144K
72081		2.0%	667	662	$31K
73100		1.9%	788	684	$29K
73140		1.5%	627	543	$23K
99243		1.1%	130	130	$17K
73630		1.1%	453	394	$17K
72082		<1%	179	177	$14K
73610		<1%	290	247	$11K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	123	123	$11K
73110		<1%	234	218	$10K

12 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	197	$9K
73590		<1%	225	$8K
26720		<1%	31	$7K
72170		<1%	159	$6K
73564		<1%	102	$5K
28470		<1%	14	$3K
73090		<1%	90	$3K
73070		<1%	62	$2K
73560		<1%	27	$1K
77072		<1%	29	$889.63
73521		<1%	12	$577.68
73130		<1%	14	$535.68

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 officialTARTAGLIA, JUSTINE (PRACTICE ADMINISTRATOR)