Westfield Pediatric Group

Westfield Pediatric Group was paid $35K by Medicaid between Jan 2018 and Feb 2019, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoWESTFIELD PEDIATRIC GROUP
WESTFIELD, NJ 07090

33aNPI1730238700assigned 01/09/2007

33bProvider typePreferred Provider Organization

28Total paid$35K

24GClaims970

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Preferred Provider Organization providers in New Jersey

Rank by total paid#9 of 9

Median peer was paid$601K

This provider vs. median0.1×

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	801	$29K
2019	169	$6K

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	89%	724	681	$32K
90460	Immunization administration through 18 years of age via any route, first or only component	9.0%	166	166	$3K
90686		<1%	13	13	$314.21
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	26	26	$180.18
99173		<1%	41	41	$58.40

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 officialBOISSONNEAULT, MARYANNE (BILLING MANAGER)