Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Top Notch Pediatrics, LLC

Top Notch Pediatrics, LLC was paid $189K by Medicaid between Jan 2018 and Sep 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoTOP NOTCH PEDIATRICS, LLC
HACKENSACK, NJ 07601
33aNPI1679995393assigned 01/15/2014
33bProvider typePediatrics Physician
28Total paid$189K
24GClaims8,912
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#262 of 549
Median peer was paid$154K
This provider vs. median1.2×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018832$13K
2019668$13K
20201,165$19K
20211,448$32K
20221,749$43K
20232,070$48K
2024incomplete980$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45% 2,098 1,830 $86K
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 14% 408 361 $27K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8.7% 379 342 $16K
99050 8.2% 1,628 1,430 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6.1% 1,617 1,591 $12K
92552 4.1% 394 393 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.5% 361 329 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.1% 698 643 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 2.5% 255 248 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 41 41 $2K
90686 <1% 131 130 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 24 24 $1K
5 more codes
81002 <1% 495 $948.25
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 16 $880.00
99173 <1% 338 $603.89
99000 0% 14 $0.00
92081 0% 15 $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 officialZENACK, ALISSA (MANAGING MEMBER)