Physician
Pediatric Affiliates PA
Pediatric Affiliates PA was paid $17.03M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 31% of everything it billed.
33Billing provider infoPEDIATRIC AFFILIATES PA
TOMS RIVER, NJ 08753
TOMS RIVER, NJ 08753
33aNPI1669404018assigned 07/07/2006
33bProvider typePediatrics Physician
28Total paid$17.03M
24GClaims2,141,330
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#6 of 549
Median peer was paid$154K
This provider vs. median111×
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 | 303,606 | $2.24M | |
| 2019 | 267,987 | $1.91M | |
| 2020 | 275,081 | $2.17M | |
| 2021 | 302,543 | $2.45M | |
| 2022 | 349,282 | $2.89M | |
| 2023 | 350,448 | $2.70M | |
| 2024incomplete | 292,383 | $2.66M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 31% | 166,879 | 160,983 | $5.31M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 378,853 | 353,719 | $2.70M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.1% | 17,709 | 17,130 | $861K |
| 99188 | 4.3% | 33,128 | 31,627 | $736K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 59,166 | 58,022 | $727K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 49,501 | 49,118 | $668K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.4% | 44,792 | 21,943 | $585K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 46,277 | 45,736 | $560K |
| 90670 | 2.8% | 23,475 | 23,359 | $481K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 24,227 | 24,062 | $371K |
| 83655 | 2.2% | 35,969 | 34,305 | $368K | |
| 90716 | 2.1% | 14,592 | 14,144 | $362K |
72 more codes
| 90461 | 1.9% | 47,540 | $321K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.8% | 12,992 | $306K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 141,676 | $220K |
| 90651 | 1.3% | 3,114 | $217K | |
| 3008F | 1.2% | 180,918 | $199K | |
| 90707 | 1.2% | 12,490 | $199K | |
| 90700 | 1.0% | 45,449 | $174K | |
| 90686 | 1.0% | 36,108 | $171K | |
| 90713 | <1% | 35,178 | $151K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 2,652 | $127K |
| 90680 | <1% | 17,892 | $123K | |
| 90734 | <1% | 3,579 | $115K | |
| 90677 | <1% | 6,511 | $107K | |
| 90633 | <1% | 15,747 | $93K | |
| 99381 | <1% | 5,110 | $93K | |
| 90619 | <1% | 2,938 | $79K | |
| 99051 | <1% | 147,927 | $70K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 129,575 | $69K |
| 90648 | <1% | 34,246 | $66K | |
| 87081 | <1% | 18,121 | $64K | |
| 90621 | <1% | 1,157 | $44K | |
| 90744 | <1% | 18,756 | $41K | |
| 99173 | <1% | 59,660 | $31K | |
| 90715 | <1% | 3,163 | $30K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 8,497 | $21K |
| 97802 | <1% | 118,924 | $17K | |
| 90671 | <1% | 4,210 | $17K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 11,715 | $15K |
| 90685 | <1% | 778 | $12K | |
| 96127 | <1% | 20,700 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,554 | $8K |
| 90661 | <1% | 1,441 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 179 | $7K |
| 36416 | <1% | 679 | $7K | |
| 90656 | <1% | 1,813 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 388 | $6K |
| 96160 | <1% | 49,566 | $5K | |
| 99442 | <1% | 1,832 | $5K | |
| 90710 | <1% | 139 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 77 | $4K |
| 0002A | <1% | 94 | $4K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 6,086 | $4K |
| 0001A | <1% | 98 | $4K | |
| 90672 | <1% | 936 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 345 | $3K |
| 0071A | <1% | 69 | $3K | |
| 81002 | <1% | 18,995 | $2K | |
| 90381 | <1% | 142 | $2K | |
| 90660 | <1% | 328 | $2K | |
| 90380 | <1% | 500 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 48 | $1K |
| 0072A | <1% | 31 | $1K | |
| 90674 | <1% | 75 | $1K | |
| 99241 | <1% | 908 | $1K | |
| 51701 | <1% | 524 | $872.54 | |
| 69210 | <1% | 183 | $656.49 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 386 | $497.58 |
| 90620 | <1% | 12 | $448.50 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 38 | $405.51 |
| 29130 | <1% | 295 | $330.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 71 | $99.16 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 22 | $61.14 |
| 86580 | <1% | 41 | $57.60 | |
| 91300 | <1% | 339 | $31.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 588 | $24.32 |
| 99000 | <1% | 432 | $18.00 | |
| 99072 | <1% | 1,300 | $10.50 | |
| 91307 | <1% | 226 | $8.00 | |
| 99401 | 0% | 72 | $0.00 | |
| 99056 | 0% | 440 | $0.00 | |
| 95117 | 0% | 113 | $0.00 | |
| 94760 | 0% | 34 | $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 officialIANNACCONE, PATRICIA (PRACTICE ADMINISTRATOR)