Physician
Pinelands Pediatric Medicine LLC
Pinelands Pediatric Medicine LLC was paid $995K by Medicaid between Jan 2018 and Oct 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoPINELANDS PEDIATRIC MEDICINE LLC
SICKLERVILLE, NJ 08081
SICKLERVILLE, NJ 08081
33aNPI1790132140assigned 05/16/2016
33bProvider typePediatrics Physician
28Total paid$995K
24GClaims50,115
24DCodes billed39
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#121 of 549
Median peer was paid$154K
This provider vs. median6.5×
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 | 6,967 | $177K | |
| 2019 | 9,519 | $218K | |
| 2020 | 6,224 | $133K | |
| 2021 | 7,900 | $73K | |
| 2022 | 10,014 | $144K | |
| 2023 | 6,052 | $156K | |
| 2024incomplete | 3,439 | $94K |
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 | 19% | 4,477 | 4,297 | $185K |
| 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 | 14% | 2,325 | 2,256 | $137K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 3,007 | 2,967 | $134K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,096 | 3,062 | $113K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.4% | 2,135 | 2,114 | $94K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.2% | 7,389 | 7,254 | $82K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 2,049 | 2,026 | $74K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.0% | 3,838 | 3,793 | $60K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.4% | 3,465 | 3,409 | $54K |
| 96127 | <1% | 5,514 | 5,455 | $9K | |
| 90734 | <1% | 435 | 423 | $8K | |
| 90686 | <1% | 2,453 | 2,435 | $8K |
27 more codes
| 90651 | <1% | 202 | $6K | |
| 90670 | <1% | 1,074 | $5K | |
| 90474 | <1% | 463 | $4K | |
| 0002A | <1% | 224 | $3K | |
| 90619 | <1% | 96 | $3K | |
| 99383 | <1% | 66 | $3K | |
| 0001A | <1% | 212 | $3K | |
| 96160 | <1% | 3,155 | $3K | |
| 90715 | <1% | 276 | $2K | |
| 90723 | <1% | 903 | $1K | |
| 90633 | <1% | 443 | $623.29 | |
| 99381 | <1% | 15 | $616.35 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 98 | $596.04 |
| 99384 | <1% | 16 | $487.81 | |
| 90648 | <1% | 1,114 | $462.90 | |
| 96161 | <1% | 198 | $336.19 | |
| 90707 | <1% | 76 | $280.18 | |
| 90681 | <1% | 192 | $260.88 | |
| 36416 | <1% | 54 | $258.91 | |
| 90685 | <1% | 45 | $165.81 | |
| 90680 | <1% | 135 | $165.78 | |
| 90700 | <1% | 96 | $129.76 | |
| 90696 | <1% | 45 | $61.83 | |
| 90716 | 0% | 12 | $0.00 | |
| 91300 | 0% | 666 | $0.00 | |
| 90710 | 0% | 42 | $0.00 | |
| 83655 | 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 officialKAUS, SHARON (OWNER)