Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › TOMS RIVER › PEDIATRIC AFFILIATES PA

PEDIATRIC AFFILIATES PA

NPI: 1669404018 · TOMS RIVER, NJ 08753 · Pediatrics Physician · NPI assigned 07/07/2006

$17.03M
Total Medicaid Paid
2,141,330
Total Claims
2,041,585
Beneficiaries
84
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialIANNACCONE, PATRICIA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date07/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 292,383 $2.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 166,879 160,983 $5.31M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 378,853 353,719 $2.70M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17,709 17,130 $861K
99188 33,128 31,627 $736K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 59,166 58,022 $727K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 49,501 49,118 $668K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 44,792 21,943 $585K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 46,277 45,736 $560K
90670 23,475 23,359 $481K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24,227 24,062 $371K
83655 35,969 34,305 $368K
90716 14,592 14,144 $362K
90461 47,540 44,674 $321K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,992 12,637 $306K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 141,676 133,736 $220K
90651 3,114 3,067 $217K
3008F 180,918 177,040 $199K
90707 12,490 11,872 $199K
90700 45,449 44,558 $174K
90686 36,108 35,275 $171K
90713 35,178 34,591 $151K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,652 1,390 $127K
90680 17,892 17,667 $123K
90734 3,579 3,549 $115K
90677 6,511 5,929 $107K
90633 15,747 15,208 $93K
99381 5,110 4,975 $93K
90619 2,938 2,873 $79K
99051 147,927 142,600 $70K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 129,575 127,778 $69K
90648 34,246 33,544 $66K
87081 18,121 17,481 $64K
90621 1,157 1,133 $44K
90744 18,756 18,385 $41K
99173 59,660 58,210 $31K
90715 3,163 3,102 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 8,497 7,959 $21K
97802 118,924 117,196 $17K
90671 4,210 3,761 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 11,715 11,335 $15K
90685 778 777 $12K
96127 20,700 20,375 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,554 8,891 $8K
90661 1,441 1,426 $7K
90472 Immunization administration, each additional vaccine (list separately) 179 176 $7K
36416 679 675 $7K
90656 1,813 1,780 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 388 382 $6K
96160 49,566 47,301 $5K
99442 1,832 1,778 $5K
90710 139 139 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 77 73 $4K
0002A 94 94 $4K
87086 Culture, bacterial; quantitative colony count, urine 6,086 5,628 $4K
0001A 98 95 $4K
90672 936 901 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 345 342 $3K
0071A 69 68 $3K
81002 18,995 18,425 $2K
90381 142 129 $2K
90660 328 326 $2K
90380 500 362 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 48 47 $1K
0072A 31 31 $1K
90674 75 71 $1K
99241 908 890 $1K
51701 524 514 $872.54
69210 183 177 $656.49
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 386 338 $497.58
90620 12 12 $448.50
99215 Prolong outpt/office vis 38 35 $405.51
29130 295 244 $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 71 70 $99.16
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 22 22 $61.14
86580 41 40 $57.60
91300 339 313 $31.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 588 495 $24.32
99000 432 422 $18.00
99072 1,300 1,232 $10.50
91307 226 220 $8.00
99401 72 72 $0.00
99056 440 433 $0.00
95117 113 60 $0.00
94760 34 31 $0.00