Physician
Valley Pediatric Associates PA
Valley Pediatric Associates PA was paid $123K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoVALLEY PEDIATRIC ASSOCIATES PA
HO HO KUS, NJ 07423
HO HO KUS, NJ 07423
33aNPI1659401370assigned 03/06/2007
33bProvider typePediatrics Physician
28Total paid$123K
24GClaims4,042
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#291 of 549
Median peer was paid$154K
This provider vs. median0.8×
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 | 349 | $14K | |
| 2019 | 205 | $9K | |
| 2020 | 372 | $6K | |
| 2021 | 881 | $27K | |
| 2022 | 1,389 | $43K | |
| 2023 | 583 | $18K | |
| 2024incomplete | 263 | $6K |
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 | 60% | 2,039 | 1,877 | $74K |
| 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% | 844 | 751 | $36K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.6% | 387 | 377 | $4K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.9% | 47 | 38 | $4K |
| 90674 | 1.2% | 86 | 82 | $2K | |
| 92587 | 1.1% | 68 | 67 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | 35 | $689.77 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | 12 | $449.58 |
| 99050 | <1% | 68 | 64 | $407.72 | |
| 87070 | <1% | 36 | 36 | $269.36 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | 26 | $268.82 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 28 | 25 | $74.44 |
7 more codes
| 90661 | <1% | 14 | $62.10 | |
| 96127 | <1% | 13 | $36.08 | |
| 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% | 56 | $24.66 |
| 81002 | <1% | 12 | $15.37 | |
| 99072 | 0% | 133 | $0.00 | |
| 99354 | 0% | 16 | $0.00 | |
| 99000 | 0% | 119 | $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 officialSHEVELEV, IRENE (PRESIDENT)