Physician
Jethwa, Kusum
Jethwa, Kusum was paid $107K by Medicaid between Jan 2018 and Nov 2020, across 15 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 30% of everything it billed.
33Billing provider infoJETHWA, KUSUM
ELIZABETH, NJ 07208
ELIZABETH, NJ 07208
33aNPI1578679544assigned 08/22/2006
33bProvider typePediatrics Physician
28Total paid$107K
24GClaims9,092
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#300 of 549
Median peer was paid$154K
This provider vs. median0.7×
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 | 4,359 | $52K | |
| 2019 | 3,427 | $41K | |
| 2020 | 1,306 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 30% | 1,407 | 1,389 | $32K |
| 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 | 19% | 1,396 | 1,316 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,927 | 2,703 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 387 | 384 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 178 | 174 | $6K |
| 90461 | 5.3% | 346 | 342 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 123 | 121 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 121 | 116 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 345 | 341 | $2K |
| 92552 | 1.5% | 429 | 429 | $2K | |
| 90658 | 1.0% | 281 | 281 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 56 | 56 | $871.32 |
3 more codes
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.