Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRICARE ASSOCIATES

NPI: 1699700526 · FAIR LAWN, NJ 07410 · Pediatrics Physician · NPI assigned 07/11/2006

$6.72M
Total Medicaid Paid
229,598
Total Claims
216,813
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZUCKER, SCOTT (PHYSICIAN PARTNER)
NPI Enumeration Date07/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,195 $1.12M
2019 33,169 $1.06M
2020 22,483 $706K
2021 27,368 $824K
2022 38,081 $1.07M
2023 43,436 $1.13M
2024 31,866 $805K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,621 35,605 $2.36M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,090 6,956 $683K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,278 6,164 $605K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,987 4,912 $540K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,599 5,219 $488K
90460 Immunization administration through 18 years of age via any route, first or only component 19,765 19,084 $448K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,153 4,821 $422K
90461 6,946 6,719 $111K
97802 8,367 8,195 $106K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 9,361 9,232 $97K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 694 672 $89K
96127 11,693 11,328 $72K
92587 3,246 3,244 $63K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,132 5,044 $63K
90671 846 803 $57K
99174 6,140 5,977 $56K
92551 5,703 5,557 $51K
90686 6,931 6,717 $50K
87070 4,975 4,702 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,052 1,030 $38K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,447 4,348 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,123 6,765 $31K
92558 4,745 4,583 $30K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,002 963 $28K
90651 356 342 $24K
90734 449 429 $17K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 142 139 $16K
3008F 17,208 16,613 $15K
90670 758 733 $14K
96160 4,517 4,387 $9K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 261 237 $9K
90723 1,032 991 $7K
99173 3,814 3,688 $6K
99215 Prolong outpt/office vis 47 42 $5K
90656 810 806 $4K
90680 698 669 $4K
90633 505 478 $4K
90620 39 38 $3K
90687 252 252 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 164 151 $3K
90710 47 44 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 24 $2K
90647 443 418 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 65 65 $1K
94664 67 63 $1K
90715 85 78 $983.62
99051 7,666 7,118 $920.40
90472 Immunization administration, each additional vaccine (list separately) 40 39 $696.42
90716 56 50 $654.30
90696 43 40 $529.77
90648 438 419 $516.51
81000 115 115 $329.77
99000 6,643 6,133 $285.12
90700 27 27 $152.54
83655 41 41 $147.62
96161 52 45 $139.06
94760 237 218 $100.89
99072 3,465 3,154 $80.00
85018 28 28 $74.05
99050 35 34 $12.00
90707 33 25 $0.00