Physician
Children's Health Center, LLC
Children's Health Center, LLC was paid $276K by Medicaid between Jan 2018 and Aug 2020, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoCHILDREN'S HEALTH CENTER, LLC
HOLMDEL, NJ 07733
HOLMDEL, NJ 07733
33aNPI1649490608assigned 05/01/2007
33bProvider typePediatrics Physician
28Total paid$276K
24GClaims7,861
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#228 of 549
Median peer was paid$154K
This provider vs. median1.8×
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 | 3,157 | $122K | |
| 2019 | 3,304 | $108K | |
| 2020 | 1,400 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 1,467 | 1,296 | $94K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 1,934 | 1,700 | $92K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 1,564 | 1,417 | $29K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 401 | 394 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 328 | 327 | $14K |
| 90461 | 3.0% | 556 | 520 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 128 | 128 | $6K |
| 92551 | 1.8% | 420 | 420 | $5K | |
| 90670 | 1.3% | 193 | 193 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 178 | 169 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 31 | 31 | $852.50 |
7 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 officialTAMBURELLO, NANCY (OWNER)