Physician
Neptune Pediatrics LLC
Neptune Pediatrics LLC was paid $1.62M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoNEPTUNE PEDIATRICS LLC
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
33aNPI1639318371assigned 02/19/2009
33bProvider typePediatrics Physician
28Total paid$1.62M
24GClaims68,883
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#78 of 549
Median peer was paid$154K
This provider vs. median11×
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 | 9,737 | $170K | |
| 2019 | 7,705 | $168K | |
| 2020 | 8,569 | $209K | |
| 2021 | 12,102 | $323K | |
| 2022 | 12,537 | $321K | |
| 2023 | 9,999 | $228K | |
| 2024incomplete | 8,234 | $202K |
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 | 24% | 8,677 | 7,411 | $392K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 5,614 | 5,510 | $219K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 11,307 | 11,111 | $210K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13% | 5,323 | 5,252 | $204K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 4,868 | 4,710 | $182K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 2,891 | 2,643 | $112K |
| 90461 | 3.4% | 3,772 | 3,736 | $56K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.1% | 1,361 | 1,326 | $50K |
| 83655 | 2.5% | 3,881 | 3,858 | $40K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 2,504 | 2,449 | $33K |
| 90686 | 1.1% | 4,186 | 4,171 | $17K | |
| 90716 | <1% | 953 | 950 | $14K |
24 more codes
| 90619 | <1% | 493 | $13K | |
| 90734 | <1% | 651 | $12K | |
| 90621 | <1% | 384 | $11K | |
| 90670 | <1% | 1,484 | $10K | |
| 90651 | <1% | 613 | $10K | |
| 90707 | <1% | 1,063 | $9K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,089 | $9K |
| 90715 | <1% | 512 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 55 | $3K |
| 90700 | <1% | 730 | $2K | |
| 90633 | <1% | 862 | $2K | |
| 90698 | <1% | 1,138 | $2K | |
| 90685 | <1% | 984 | $1K | |
| 90677 | <1% | 178 | $1K | |
| 90713 | <1% | 186 | $772.55 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 762 | $623.70 |
| 90647 | <1% | 317 | $558.15 | |
| 90680 | <1% | 476 | $432.14 | |
| 36416 | <1% | 143 | $430.00 | |
| 90744 | <1% | 523 | $389.15 | |
| 3008F | <1% | 591 | $353.00 | |
| 96160 | <1% | 132 | $90.31 | |
| 90723 | <1% | 160 | $77.27 | |
| G9920 | Screening performed and negative | <1% | 20 | $5.80 |
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 officialATIENZA, KIMBERLY (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Neptune Adult Medicine LLC | Neptune, NJ | $89K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.