Physician
Jay Lovenheim, DO, Faap, PA
Jay Lovenheim, DO, Faap, PA was paid $611K by Medicaid between Jan 2018 and Apr 2023, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoJAY LOVENHEIM, DO, FAAP, PA
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
33aNPI1598022550assigned 04/16/2012
33bProvider typePediatrics Physician
28Total paid$611K
24GClaims20,888
24DCodes billed30
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#155 of 549
Median peer was paid$154K
This provider vs. median4.0×
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 | 5,040 | $172K | |
| 2019 | 4,088 | $145K | |
| 2020 | 3,570 | $99K | |
| 2021 | 3,043 | $74K | |
| 2022 | 4,167 | $95K | |
| 2023 | 980 | $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 | 40% | 5,077 | 4,568 | $245K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 1,125 | 1,116 | $93K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 886 | 878 | $75K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.2% | 2,637 | 2,515 | $56K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 628 | 610 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.3% | 305 | 285 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 1,438 | 1,401 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 562 | 561 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 336 | 299 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 1,230 | 1,198 | $6K |
| 99177 | <1% | 1,925 | 1,793 | $5K | |
| 90686 | <1% | 695 | 665 | $3K |
18 more codes
| 90672 | <1% | 216 | $2K | |
| 0071A | <1% | 48 | $2K | |
| 90670 | <1% | 69 | $2K | |
| 3008F | <1% | 1,191 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 591 | $1K |
| 90473 | <1% | 90 | $871.14 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 80 | $465.84 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 33 | $452.30 |
| 96160 | <1% | 415 | $374.56 | |
| 90633 | <1% | 24 | $122.31 | |
| 90685 | <1% | 14 | $96.30 | |
| 90698 | <1% | 13 | $92.58 | |
| 90680 | <1% | 13 | $82.89 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | $67.72 |
| 91307 | <1% | 48 | $22.00 | |
| 99000 | 0% | 14 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15 | $0.00 |
| 99072 | 0% | 1,132 | $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 officialLOVENHEIM, JAY (OWNER)