Physician
Ventnor Pediatrics INC.
Ventnor Pediatrics INC. was paid $7.20M by Medicaid between Jan 2018 and Nov 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoVENTNOR PEDIATRICS INC.
VENTNOR, NJ 08406
VENTNOR, NJ 08406
33aNPI1740230952assigned 05/10/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$7.20M
24GClaims196,504
24DCodes billed75
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New Jersey
Rank by total paid#1 of 56
Median peer was paid$178K
This provider vs. median41×
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 | 25,824 | $887K | |
| 2019 | 22,169 | $755K | |
| 2020 | 23,183 | $618K | |
| 2021 | 26,552 | $987K | |
| 2022 | 36,326 | $1.43M | |
| 2023 | 35,469 | $1.39M | |
| 2024incomplete | 26,981 | $1.13M |
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 | 42% | 47,523 | 41,377 | $3.05M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.5% | 14,474 | 13,778 | $614K |
| 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 | 7.7% | 6,510 | 6,165 | $555K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 22,711 | 22,051 | $470K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 5,380 | 5,334 | $441K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 5,541 | 5,316 | $419K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 4,889 | 4,847 | $370K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 2,979 | 2,945 | $253K |
| 92552 | 1.9% | 7,032 | 7,001 | $134K | |
| 90461 | 1.8% | 8,014 | 7,819 | $133K | |
| 90677 | 1.4% | 656 | 625 | $99K | |
| 92583 | 1.3% | 2,103 | 2,064 | $97K |
63 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,789 | $67K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 3,411 | $63K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,195 | $52K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 333 | $44K |
| 90619 | <1% | 305 | $40K | |
| 36416 | <1% | 3,890 | $37K | |
| 99188 | <1% | 2,046 | $33K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 375 | $29K |
| 99381 | <1% | 272 | $23K | |
| 87428 | <1% | 350 | $23K | |
| 90651 | <1% | 663 | $21K | |
| 90686 | <1% | 4,784 | $18K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,248 | $18K |
| 3008F | <1% | 9,943 | $10K | |
| 96127 | <1% | 3,053 | $9K | |
| 90380 | <1% | 74 | $8K | |
| 85018 | <1% | 4,854 | $8K | |
| 86580 | <1% | 1,102 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 277 | $7K |
| 92551 | <1% | 658 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 84 | $4K |
| 90670 | <1% | 1,140 | $3K | |
| 99173 | <1% | 7,020 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 213 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $3K |
| 90715 | <1% | 387 | $3K | |
| 94664 | <1% | 239 | $2K | |
| 90734 | <1% | 165 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 237 | $2K |
| 96380 | <1% | 106 | $2K | |
| 90744 | <1% | 1,013 | $1K | |
| 90381 | <1% | 40 | $1K | |
| 0071A | <1% | 39 | $1K | |
| 90656 | <1% | 243 | $1K | |
| 90710 | <1% | 48 | $1K | |
| 90680 | <1% | 1,196 | $899.40 | |
| 90620 | <1% | 15 | $895.00 | |
| 0072A | <1% | 22 | $880.00 | |
| 90698 | <1% | 1,312 | $876.36 | |
| 90633 | <1% | 749 | $866.60 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 33 | $760.57 |
| 90688 | <1% | 51 | $739.06 | |
| 83655 | <1% | 85 | $717.10 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 36 | $457.60 |
| 90687 | <1% | 27 | $432.12 | |
| 90696 | <1% | 33 | $248.91 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 26 | $177.74 |
| 90716 | <1% | 94 | $150.98 | |
| 90668 | <1% | 71 | $120.00 | |
| 90666 | <1% | 43 | $96.00 | |
| 90707 | <1% | 107 | $87.31 | |
| 96161 | <1% | 30 | $66.60 | |
| 90648 | <1% | 121 | $54.20 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 26 | $44.76 |
| 90700 | <1% | 26 | $35.48 | |
| 97802 | <1% | 898 | $32.19 | |
| 81002 | <1% | 19 | $16.95 | |
| 99072 | <1% | 4,801 | $10.50 | |
| 90672 | 0% | 15 | $0.00 | |
| 87084 | 0% | 59 | $0.00 | |
| 91307 | 0% | 102 | $0.00 | |
| 99000 | 0% | 61 | $0.00 | |
| 90723 | 0% | 14 | $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 officialASEMOTA, EMIOLA (OWNER)