Plaza Pediatrics, PC

Plaza Pediatrics, PC was paid $232K by Medicaid between Jan 2018 and Feb 2023, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoPLAZA PEDIATRICS, PC
NORTH BRUNSWICK, NJ 08902

33aNPI1619054749assigned 11/01/2006

33bProvider typePediatrics Physician

28Total paid$232K

24GClaims10,160

24DCodes billed25

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#240 of 549

Median peer was paid$154K

This provider vs. median1.5×

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	1,055	$30K
2019	1,161	$31K
2020	1,026	$25K
2021	2,288	$48K
2022	3,838	$86K
2023	792	$13K

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	49%	2,288	1,785	$114K
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	23%	736	610	$54K
90460	Immunization administration through 18 years of age via any route, first or only component	14%	1,429	1,298	$32K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.2%	86	83	$7K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.0%	89	80	$7K
92551		1.8%	522	484	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.5%	670	608	$3K
99051		<1%	519	442	$2K
99173		<1%	682	637	$2K
96127		<1%	665	575	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	40	38	$1K
99401		<1%	874	779	$929.56

13 more codes

97803		<1%	763	$777.51
90688		<1%	27	$391.03
90461		<1%	66	$390.93
90686		<1%	73	$159.68
97804		<1%	79	$120.29
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	28	$84.04
S9470	Nutritional counseling, dietitian visit	<1%	107	$81.00
87081		<1%	15	$46.76
99072		<1%	143	$45.00
94760		<1%	172	$36.78
96160		<1%	26	$20.83
81000		<1%	14	$14.64
99000		<1%	47	$12.60

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 officialHANNA, DINA (PHYSICIAN)