Clinic
Mystic Island Pediatric Associates, LLC
Mystic Island Pediatric Associates, LLC was paid $310K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoMYSTIC ISLAND PEDIATRIC ASSOCIATES, LLC
LITTLE EGG HARBOR TWP, NJ 08087
LITTLE EGG HARBOR TWP, NJ 08087
33aNPI1679892533assigned 05/18/2010
33bProvider typeMedical Specialty Clinic/Center
28Total paid$310K
24GClaims9,111
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in New Jersey
Rank by total paid#10 of 43
Median peer was paid$26K
This provider vs. median12×
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 | 1,484 | $76K | |
| 2019 | 1,347 | $58K | |
| 2020 | 1,216 | $40K | |
| 2021 | 982 | $25K | |
| 2022 | 1,692 | $42K | |
| 2023 | 1,374 | $41K | |
| 2024incomplete | 1,016 | $28K |
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 | 51% | 4,360 | 3,440 | $159K |
| 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 | 40% | 2,334 | 2,021 | $126K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 644 | 561 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 278 | 265 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 67 | 65 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 68 | 65 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 43 | 43 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 46 | 45 | $2K |
| 90461 | <1% | 150 | 142 | $2K | |
| 99401 | <1% | 66 | 53 | $1K | |
| 97802 | <1% | 77 | 74 | $70.20 | |
| 81002 | <1% | 558 | 531 | $18.70 |
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 officialLEE, GENE (VP)