Clinic
Mundo Chico Pediatric Associates, LLC
Mundo Chico Pediatric Associates, LLC was paid $329K by Medicaid between Jan 2018 and Mar 2020, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoMUNDO CHICO PEDIATRIC ASSOCIATES, LLC
UNION CITY, NJ 07087
UNION CITY, NJ 07087
33aNPI1568727147assigned 07/10/2012
33bProvider typePrimary Care Clinic/Center
28Total paid$329K
24GClaims16,087
24DCodes billed40
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#34 of 130
Median peer was paid$86K
This provider vs. median3.8×
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 RODRIGUEZ, MARIA controls 13+ 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 | |
|---|---|---|---|
| 2018 | 6,778 | $188K | |
| 2019 | 7,532 | $114K | |
| 2020 | 1,777 | $26K |
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 | 65% | 3,536 | 3,141 | $213K |
| 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 | 6.9% | 262 | 257 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 221 | 221 | $18K |
| 92551 | 3.6% | 1,156 | 1,155 | $12K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 158 | 158 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.5% | 492 | 481 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 130 | 124 | $11K |
| 99401 | 2.1% | 258 | 257 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 733 | 707 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 346 | 345 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 44 | 44 | $4K |
| 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% | 37 | 37 | $3K |
28 more codes
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 1,090 | $3K |
| 90461 | <1% | 203 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 373 | $667.10 |
| 99173 | <1% | 235 | $396.12 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 12 | $89.51 |
| 90656 | <1% | 53 | $15.82 | |
| 3008F | <1% | 482 | $2.00 | |
| 4124F | 0% | 1,370 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 310 | $0.00 |
| 90648 | 0% | 14 | $0.00 | |
| 90670 | 0% | 53 | $0.00 | |
| 3078F | 0% | 57 | $0.00 | |
| 90685 | 0% | 13 | $0.00 | |
| 2000F | 0% | 35 | $0.00 | |
| 2010F | 0% | 1,957 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 12 | $0.00 |
| 2001F | 0% | 2,068 | $0.00 | |
| 2030F | 0% | 44 | $0.00 | |
| 3351F | 0% | 56 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 4058F | 0% | 46 | $0.00 | |
| 4056F | 0% | 47 | $0.00 | |
| 1220F | 0% | 57 | $0.00 | |
| 1036F | 0% | 15 | $0.00 | |
| 1000F | 0% | 56 | $0.00 | |
| 1126F | 0% | 18 | $0.00 | |
| 90657 | 0% | 12 | $0.00 | |
| 90698 | 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 officialRODRIGUEZ, MARIA (PRESIDENT)
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| Yorkville Endoscopy, LLC | New York, NY | $1.04M |
| First Choice Medical Supply & Equipment, LLC. | Donna, TX | $693K |
| Laboratorio Clinico Caribe Medical Plaza,inc. | Vega Alta, PR | $615K |
| Cardiovascular Consultants of Fresno, a Professional Corporation | Fresno, CA | $212K |
| Centro De Gastroenterologia Pediatrica Del Oeste | Mayaguez, PR | $180K |
| Honest Care Health Services LLC | Doral, FL | $85K |
| Laboratorio Clinico Elena LLC | Ponce, PR | $57K |
| Rodmart Optical, INC | San German, PR | $10K |
| Rios Laboratory INC. | San Sebastian, PR | $2K |
| Lab Clinico Villanueva | Isabela, PR | $113.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.