Denicola, Nancy

Denicola, Nancy was paid $9K by Medicaid between Oct 2018 and Nov 2018, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoDENICOLA, NANCY
HOLMDEL, NJ 07733

33aNPI1568450690assigned 10/12/2005

33bProvider typePediatrics Physician

28Total paid$9K

24GClaims206

24DCodes billed4

24AFirst – last monthOct 2018 – Nov 2018

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#441 of 549

Median peer was paid$154K

This provider vs. median0.1×

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	206	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	47%	58	52	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43%	73	66	$4K
90460	Immunization administration through 18 years of age via any route, first or only component	9.8%	59	58	$931.50
94760		0%	16	15	$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.