Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Restrepo, Mauricio

Restrepo, Mauricio was paid $5.60M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoRESTREPO, MAURICIO
DOVER, NJ 07801
33aNPI1568608370assigned 12/29/2008
33bProvider typePediatrics Physician
28Total paid$5.60M
24GClaims199,699
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#26 of 549
Median peer was paid$154K
This provider vs. median36×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201819,716$682K
201923,028$691K
202020,900$570K
202123,146$687K
202237,698$1000K
202342,360$1.10M
2024incomplete32,851$874K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47% 42,685 35,409 $2.63M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.0% 5,048 4,913 $447K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.5% 4,749 4,609 $420K
90460 Immunization administration through 18 years of age via any route, first or only component 6.2% 16,017 15,340 $349K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.6% 3,934 3,794 $315K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.3% 3,115 3,004 $295K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.9% 7,306 6,759 $272K
99441 2.5% 3,213 2,696 $140K
99442 2.2% 1,822 1,128 $123K
90461 1.6% 5,116 4,890 $88K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.4% 10,483 10,096 $79K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.1% 732 705 $60K
52 more codes
99188 1.0% 3,368 $59K
92558 <1% 8,439 $54K
90651 <1% 952 $34K
90670 <1% 1,581 $20K
90734 <1% 705 $17K
83655 <1% 3,323 $17K
90688 <1% 1,116 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,481 $16K
3008F <1% 7,534 $15K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 144 $14K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 14,597 $14K
99381 <1% 191 $14K
90620 <1% 370 $11K
99214 Doctor's office visit, returning patient (more involved) <1% 111 $10K
99173 <1% 7,971 $9K
90710 <1% 735 $9K
99401 <1% 485 $8K
90716 <1% 331 $7K
90633 <1% 1,395 $5K
90677 <1% 224 $4K
90700 <1% 653 $4K
90697 <1% 523 $3K
S9451 Exercise classes, non-physician provider, per session <1% 8,744 $3K
90707 <1% 181 $2K
90715 <1% 288 $2K
90649 <1% 80 $2K
S9470 Nutritional counseling, dietitian visit <1% 8,267 $2K
90686 <1% 4,734 $1K
36416 <1% 348 $1K
90656 <1% 813 $1K
90680 <1% 592 $916.34
97802 <1% 9,033 $885.98
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 43 $761.53
90647 <1% 309 $758.64
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $725.46
90713 <1% 103 $630.86
90671 <1% 382 $616.11
90698 <1% 526 $560.08
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 47 $456.66
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 34 $419.16
90744 <1% 258 $313.40
87070 <1% 50 $251.80
90685 <1% 63 $243.50
87084 <1% 27 $169.19
99000 <1% 3,112 $28.10
H0004 Behavioral health counseling and therapy, per 15 minutes 0% 190 $0.00
90696 0% 231 $0.00
99091 0% 113 $0.00
1159F 0% 579 $0.00
90681 0% 49 $0.00
90672 0% 19 $0.00
4120F 0% 23 $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.