Medicaid Provider Spending

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

WESTFIELD PEDIATRIC GROUP

NPI: 1730238700 · WESTFIELD, NJ 07090 · Preferred Provider Organization · NPI assigned 01/09/2007

$35K
Total Medicaid Paid
970
Total Claims
927
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialBOISSONNEAULT, MARYANNE (BILLING MANAGER)
NPI Enumeration Date01/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 801 $29K
2019 169 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 724 681 $32K
90460 Immunization administration through 18 years of age via any route, first or only component 166 166 $3K
90686 13 13 $314.21
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26 26 $180.18
99173 41 41 $58.40