PM Pediatrics of Livingston, PLLC
PM Pediatrics of Livingston, PLLC was paid $40.45M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoPM PEDIATRICS OF LIVINGSTON, PLLC
LIVINGSTON, NJ 07039
LIVINGSTON, NJ 07039
33aNPI1639430515assigned 06/06/2012
33bProvider typeSpecialist
28Total paid$40.45M
24GClaims409,235
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#3 of 378
Median peer was paid$63K
This provider vs. median647×
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 | 22,834 | $2.44M | |
| 2019 | 31,263 | $3.91M | |
| 2020 | 36,246 | $4.51M | |
| 2021 | 78,586 | $7.97M | |
| 2022 | 89,785 | $8.26M | |
| 2023 | 86,615 | $8.02M | |
| 2024incomplete | 63,906 | $5.35M |
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 | 30% | 105,180 | 97,827 | $12.19M |
| 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 | 29% | 100,095 | 94,291 | $11.78M |
| S9083 | Global fee urgent care centers | 20% | 60,924 | 54,836 | $7.96M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 45,807 | 45,358 | $5.39M |
| 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 | 6.6% | 23,018 | 22,721 | $2.69M |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,908 | 1,908 | $229K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,153 | 1,120 | $113K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 864 | 855 | $101K |
| 99205 | Prolong outpt/office vis | <1% | 32 | 31 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,860 | 1,795 | $45.23 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 200 | 200 | $13.67 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25,484 | 23,758 | $3.79 |
28 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 4,101 | $0.00 |
| 73110 | 0% | 461 | $0.00 | |
| 73140 | 0% | 974 | $0.00 | |
| 73130 | 0% | 200 | $0.00 | |
| 81003 | 0% | 2,817 | $0.00 | |
| 81025 | 0% | 119 | $0.00 | |
| 73610 | 0% | 909 | $0.00 | |
| 12011 | 0% | 148 | $0.00 | |
| 73080 | 0% | 44 | $0.00 | |
| 73630 | 0% | 622 | $0.00 | |
| J7699 | Noc drugs, inhalation solution administered through dme | 0% | 108 | $0.00 |
| 29125 | 0% | 28 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 12 | $0.00 |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | 0% | 2,344 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 2,091 | $0.00 |
| 87428 | 0% | 665 | $0.00 | |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 6,700 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 1,311 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 142 | $0.00 |
| Q4049 | Finger splint, static | 0% | 30 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 1,501 | $0.00 |
| 82962 | 0% | 91 | $0.00 | |
| 29540 | 0% | 118 | $0.00 | |
| 99024 | 0% | 43 | $0.00 | |
| 99000 | 0% | 17,051 | $0.00 | |
| 73090 | 0% | 13 | $0.00 | |
| 87807 | 0% | 55 | $0.00 | |
| 73560 | 0% | 12 | $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 officialHANLY, KRISTEN (SENIOR MANAGER OF RCM OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Wake Med Children's PM Pediatric Urgent Care | Morrisville, NC | $3.12M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.