Physician
Pediatricare Associates
Pediatricare Associates was paid $6.72M by Medicaid between Jan 2018 and Nov 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoPEDIATRICARE ASSOCIATES
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
33aNPI1699700526assigned 07/11/2006
33bProvider typePediatrics Physician
28Total paid$6.72M
24GClaims229,598
24DCodes billed61
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#21 of 549
Median peer was paid$154K
This provider vs. median44×
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 | 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 | |
| 2024incomplete | 31,866 | $805K |
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 | 35% | 40,621 | 35,605 | $2.36M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 7,090 | 6,956 | $683K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 6,278 | 6,164 | $605K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.0% | 4,987 | 4,912 | $540K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 5,599 | 5,219 | $488K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 19,765 | 19,084 | $448K |
| 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 | 6.3% | 5,153 | 4,821 | $422K |
| 90461 | 1.7% | 6,946 | 6,719 | $111K | |
| 97802 | 1.6% | 8,367 | 8,195 | $106K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.4% | 9,361 | 9,232 | $97K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.3% | 694 | 672 | $89K |
| 96127 | 1.1% | 11,693 | 11,328 | $72K |
49 more codes
| 92587 | <1% | 3,246 | $63K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,132 | $63K |
| 90671 | <1% | 846 | $57K | |
| 99174 | <1% | 6,140 | $56K | |
| 92551 | <1% | 5,703 | $51K | |
| 90686 | <1% | 6,931 | $50K | |
| 87070 | <1% | 4,975 | $43K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,052 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,447 | $35K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,123 | $31K |
| 92558 | <1% | 4,745 | $30K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,002 | $28K |
| 90651 | <1% | 356 | $24K | |
| 90734 | <1% | 449 | $17K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 142 | $16K |
| 3008F | <1% | 17,208 | $15K | |
| 90670 | <1% | 758 | $14K | |
| 96160 | <1% | 4,517 | $9K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 261 | $9K |
| 90723 | <1% | 1,032 | $7K | |
| 99173 | <1% | 3,814 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 47 | $5K |
| 90656 | <1% | 810 | $4K | |
| 90680 | <1% | 698 | $4K | |
| 90633 | <1% | 505 | $4K | |
| 90620 | <1% | 39 | $3K | |
| 90687 | <1% | 252 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 164 | $3K |
| 90710 | <1% | 47 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $2K |
| 90647 | <1% | 443 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 65 | $1K |
| 94664 | <1% | 67 | $1K | |
| 90715 | <1% | 85 | $983.62 | |
| 99051 | <1% | 7,666 | $920.40 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 40 | $696.42 |
| 90716 | <1% | 56 | $654.30 | |
| 90696 | <1% | 43 | $529.77 | |
| 90648 | <1% | 438 | $516.51 | |
| 81000 | <1% | 115 | $329.77 | |
| 99000 | <1% | 6,643 | $285.12 | |
| 90700 | <1% | 27 | $152.54 | |
| 83655 | <1% | 41 | $147.62 | |
| 96161 | <1% | 52 | $139.06 | |
| 94760 | <1% | 237 | $100.89 | |
| 99072 | <1% | 3,465 | $80.00 | |
| 85018 | <1% | 28 | $74.05 | |
| 99050 | <1% | 35 | $12.00 | |
| 90707 | 0% | 33 | $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 officialZUCKER, SCOTT (PHYSICIAN PARTNER)