Physician
Springfield Pediatrics, P.A.
Springfield Pediatrics, P.A. was paid $6.51M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoSPRINGFIELD PEDIATRICS, P.A.
ELIZABETH, NJ 07208
ELIZABETH, NJ 07208
33aNPI1649337171assigned 01/03/2007
33bProvider typePediatrics Physician
28Total paid$6.51M
24GClaims272,886
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#22 of 549
Median peer was paid$154K
This provider vs. median42×
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 | 45,374 | $1.22M | |
| 2019 | 37,527 | $999K | |
| 2020 | 26,269 | $652K | |
| 2021 | 31,501 | $708K | |
| 2022 | 40,738 | $881K | |
| 2023 | 48,086 | $1.09M | |
| 2024incomplete | 43,391 | $961K |
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 | 36% | 54,988 | 50,436 | $2.32M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.5% | 7,728 | 7,554 | $617K |
| 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 | 9.4% | 10,077 | 9,484 | $610K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 7,985 | 7,830 | $586K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 5,548 | 5,364 | $405K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.9% | 20,127 | 19,404 | $319K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 20,139 | 19,063 | $199K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 1,990 | 1,931 | $129K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 8,872 | 8,722 | $122K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.7% | 3,062 | 2,862 | $108K |
| 90620 | 1.5% | 1,635 | 1,485 | $95K | |
| 90651 | 1.4% | 1,567 | 1,418 | $93K |
69 more codes
| 95930 | 1.3% | 1,212 | $84K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 7,144 | $79K |
| 90461 | 1.1% | 4,770 | $72K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,151 | $65K |
| 90677 | <1% | 341 | $55K | |
| 90686 | <1% | 8,509 | $54K | |
| 92587 | <1% | 2,012 | $49K | |
| 90619 | <1% | 537 | $49K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 8,134 | $48K |
| 3008F | <1% | 18,440 | $44K | |
| 90734 | <1% | 772 | $30K | |
| 99188 | <1% | 1,726 | $28K | |
| 94060 | <1% | 549 | $22K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,494 | $22K |
| 96127 | <1% | 6,151 | $20K | |
| 99173 | <1% | 15,751 | $17K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,645 | $15K |
| 92583 | <1% | 799 | $14K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 161 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,327 | $12K |
| 90710 | <1% | 452 | $11K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 2,224 | $10K |
| 99401 | <1% | 441 | $9K | |
| 92551 | <1% | 1,608 | $9K | |
| 0071A | <1% | 319 | $6K | |
| 99050 | <1% | 567 | $6K | |
| 83655 | <1% | 722 | $6K | |
| 90656 | <1% | 548 | $6K | |
| 90670 | <1% | 1,043 | $6K | |
| 0072A | <1% | 190 | $5K | |
| 97802 | <1% | 12,625 | $4K | |
| 90633 | <1% | 1,198 | $4K | |
| 90715 | <1% | 428 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 343 | $3K |
| 85018 | <1% | 2,027 | $3K | |
| 96160 | <1% | 914 | $3K | |
| 36416 | <1% | 529 | $2K | |
| 90716 | <1% | 242 | $2K | |
| 90474 | <1% | 271 | $2K | |
| 99383 | <1% | 12 | $1K | |
| 99177 | <1% | 227 | $1K | |
| 96161 | <1% | 518 | $1K | |
| 99381 | <1% | 14 | $1K | |
| 90680 | <1% | 519 | $1K | |
| 90744 | <1% | 208 | $1K | |
| 90696 | <1% | 168 | $1K | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 1,699 | $969.59 |
| 90707 | <1% | 119 | $804.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 114 | $801.94 |
| 90698 | <1% | 192 | $706.71 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 66 | $661.97 |
| 99070 | <1% | 8,126 | $620.00 | |
| 90473 | <1% | 606 | $519.09 | |
| 81002 | <1% | 218 | $354.16 | |
| 90685 | <1% | 231 | $344.08 | |
| 86710 | <1% | 169 | $315.00 | |
| 87807 | <1% | 197 | $302.88 | |
| 94010 | <1% | 12 | $273.37 | |
| 90697 | <1% | 22 | $267.00 | |
| 90700 | <1% | 175 | $219.87 | |
| 99051 | <1% | 64 | $159.17 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $140.48 |
| 99174 | <1% | 13 | $83.37 | |
| 90648 | <1% | 250 | $69.22 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 95 | $65.00 |
| 94760 | <1% | 693 | $18.51 | |
| 90723 | 0% | 71 | $0.00 | |
| 2000F | 0% | 13 | $0.00 | |
| 90621 | 0% | 29 | $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 officialLOZANO, ROLANDO (OWNER)