North Jersey Pediatric Orthpedics PA

North Jersey Pediatric Orthpedics PA was paid $103K by Medicaid between Mar 2021 and May 2022, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 56% of everything it billed.

33Billing provider infoNORTH JERSEY PEDIATRIC ORTHPEDICS PA
RIDGEWOOD, NJ 07450

33aNPI1700915592assigned 03/05/2007

33bProvider typePediatric Orthopaedic Surgery Physician

28Total paid$103K

24GClaims820

24DCodes billed4

24AFirst – last monthMar 2021 – May 2022

Compared with peers

Next to other Pediatric Orthopaedic Surgery Physician providers in New Jersey

Rank by total paid#5 of 5

Median peer was paid$321K

This provider vs. median0.3×

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
2021	540	$68K
2022	280	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	56%	374	374	$58K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	421	410	$44K
72100		<1%	13	13	$764.27
72070		<1%	12	12	$641.64

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 officialAVELLA, DOUGLAS (OWNER)