Physician
Toms River Pediatrics
Toms River Pediatrics was paid $478K by Medicaid between Jan 2018 and Feb 2022, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoTOMS RIVER PEDIATRICS
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
33aNPI1609031525assigned 07/21/2008
33bProvider typePediatrics Physician
28Total paid$478K
24GClaims15,871
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#182 of 549
Median peer was paid$154K
This provider vs. median3.1×
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 | 4,759 | $158K | |
| 2019 | 4,969 | $147K | |
| 2020 | 2,987 | $84K | |
| 2021 | 2,853 | $80K | |
| 2022 | 303 | $9K |
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 | 53% | 5,247 | 4,654 | $253K |
| 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 | 12% | 926 | 897 | $60K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 736 | 736 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 497 | 497 | $29K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 467 | 465 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 1,023 | 1,010 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 242 | 240 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 1,259 | 1,235 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 905 | 871 | $11K |
| 90461 | 1.3% | 382 | 378 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 194 | 193 | $2K |
| 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% | 24 | 24 | $2K |
6 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.
From NPPES
Who's on the registration
Authorized officialSCHUE, CYNTHIA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Najib Michael Alturk, M.D., F.A.C.C. | Toms River, NJ | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.