Medicaid Provider Spending

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

SON LIGHT PEDIATRICS PC

NPI: 1790805869 · WILLINGBORO, NJ 08046 · Pediatric Adolescent Medicine Physician · NPI assigned 03/30/2007

$916K
Total Medicaid Paid
70,671
Total Claims
68,792
Beneficiaries
46
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialWILLIS, LEAH (PRACTICE ADMINISTRATOR)
NPI Enumeration Date03/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,298 $233K
2019 12,035 $170K
2020 8,960 $116K
2021 13,140 $152K
2022 14,651 $180K
2023 4,587 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,530 7,997 $186K
90460 Immunization administration through 18 years of age via any route, first or only component 5,667 5,577 $122K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,958 5,766 $111K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,519 2,491 $109K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,206 2,186 $93K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,623 1,591 $74K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,484 1,449 $60K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,811 2,786 $47K
90461 1,927 1,893 $36K
G0444 Annual depression screening, 5 to 15 minutes 4,808 4,716 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 770 754 $11K
3008F 7,551 7,435 $10K
97802 7,954 7,870 $8K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,512 1,460 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,341 1,319 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 91 91 $4K
90734 156 154 $3K
90656 543 543 $3K
36416 300 298 $2K
99188 111 111 $2K
90472 Immunization administration, each additional vaccine (list separately) 135 135 $2K
90686 405 389 $1K
90670 331 313 $1K
99381 27 25 $940.30
99401 1,567 1,538 $847.02
96161 759 718 $818.01
99173 1,269 1,247 $764.47
0071A 14 14 $560.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 593 579 $502.06
87081 419 413 $424.92
85018 404 403 $316.11
90651 39 39 $253.60
90633 58 54 $198.54
90723 109 105 $181.80
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 16 $150.83
96160 532 519 $136.89
90715 13 13 $127.81
90648 202 192 $109.50
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 27 26 $43.88
90657 12 12 $21.38
D0190 12 12 $18.50
99000 520 511 $15.00
36415 Collection of venous blood by venipuncture 12 12 $14.18
91307 23 15 $0.00
99072 5,284 4,979 $0.00
90681 27 26 $0.00