Physician
Pediatric Associates of Paterson
Pediatric Associates of Paterson was paid $398K by Medicaid between Jan 2018 and Mar 2019, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF PATERSON
PATERSON, NJ 07514
PATERSON, NJ 07514
33aNPI1689704306assigned 03/06/2007
33bProvider typePediatrics Physician
28Total paid$398K
24GClaims10,066
24DCodes billed22
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#199 of 549
Median peer was paid$154K
This provider vs. median2.6×
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 | 8,218 | $320K | |
| 2019 | 1,848 | $78K |
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 | 43% | 2,980 | 2,498 | $171K |
| 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 | 19% | 882 | 808 | $75K |
| 99401 | 7.0% | 1,099 | 1,096 | $28K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 1,004 | 968 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 297 | 296 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 224 | 224 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 177 | 176 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 146 | 146 | $13K |
| 99188 | 2.4% | 533 | 524 | $10K | |
| 92587 | 2.3% | 532 | 525 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 448 | 435 | $5K |
| 90461 | 1.1% | 226 | 222 | $4K |
10 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 488 | $3K |
| 96127 | <1% | 438 | $2K | |
| 90651 | <1% | 24 | $1K | |
| 36416 | <1% | 195 | $1K | |
| 90686 | <1% | 172 | $1K | |
| 99381 | <1% | 12 | $1K | |
| 90670 | <1% | 32 | $704.24 | |
| 96160 | <1% | 118 | $348.98 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $242.74 |
| 90698 | <1% | 13 | $188.72 |
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 officialTHOMAS, ABRAHAM (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| West Orange Pediatrics | West Orange, NJ | $457K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.