Physician
Pauline Raitses DO PC
Pauline Raitses DO PC was paid $274K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 95886, — 32% of everything it billed.
33Billing provider infoPAULINE RAITSES DO PC
JERSEY CITY, NJ 07305
JERSEY CITY, NJ 07305
33aNPI1740602218assigned 01/17/2014
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$274K
24GClaims15,910
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in New Jersey
Rank by total paid#11 of 91
Median peer was paid$5K
This provider vs. median59×
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 | 1,267 | $73K | |
| 2019 | 1,233 | $58K | |
| 2020 | 281 | $13K | |
| 2021 | 1,043 | $26K | |
| 2022 | 5,004 | $48K | |
| 2023 | 1,759 | $22K | |
| 2024incomplete | 5,323 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95886 | 32% | 1,620 | 1,464 | $87K | |
| 95911 | 15% | 642 | 641 | $42K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,367 | 1,432 | $40K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 11% | 1,638 | 773 | $31K |
| 95910 | 8.7% | 415 | 413 | $24K | |
| 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 | 8.4% | 543 | 506 | $23K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 3.6% | 1,638 | 781 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 71 | 71 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 360 | 170 | $4K |
| J3411 | Injection, thiamine hcl, 100 mg | <1% | 1,407 | 675 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 545 | 235 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,678 | 752 | $2K |
3 more codes
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 officialRAITSES, PAULINE (OWNER)