Pediatric Surgery Group, LLC

Pediatric Surgery Group, LLC was paid $237K by Medicaid between Jan 2018 and Jan 2023, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 63% of everything it billed.

33Billing provider infoPEDIATRIC SURGERY GROUP, LLC
MAPLEWOOD, NJ 07040

33aNPI1679580781assigned 08/02/2006

33bProvider typePediatric Surgery Physician

28Total paid$237K

24GClaims1,892

24DCodes billed9

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Pediatric Surgery Physician providers in New Jersey

Rank by total paid#2 of 5

Median peer was paid$146K

This provider vs. median1.6×

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	227	$35K
2019	312	$45K
2020	244	$29K
2021	481	$61K
2022	548	$61K
2023	80	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	63%	1,258	1,228	$150K
99243		25%	388	388	$60K
54161		6.2%	62	60	$15K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.1%	104	100	$5K
99223	Prolong inpt eval add15 m	<1%	12	12	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	13	13	$2K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	27	27	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	15	15	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	13	13	$963.23

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 officialBETHEL, COLIN (MANAGING MEMBER)