Physician
Pediatric Care Physicians, LLC
Pediatric Care Physicians, LLC was paid $992K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPEDIATRIC CARE PHYSICIANS, LLC
BRICK, NJ 08724
BRICK, NJ 08724
33aNPI1790814127assigned 03/02/2007
33bProvider typePediatrics Physician
28Total paid$992K
24GClaims37,675
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#122 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 | 5,043 | $202K | |
| 2019 | 5,287 | $194K | |
| 2020 | 4,801 | $132K | |
| 2021 | 5,967 | $163K | |
| 2022 | 3,927 | $86K | |
| 2023 | 7,860 | $111K | |
| 2024incomplete | 4,790 | $103K |
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 | 39% | 11,595 | 9,212 | $384K |
| 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 | 23% | 3,841 | 3,422 | $223K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.3% | 4,992 | 4,660 | $92K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.0% | 2,744 | 2,656 | $50K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 942 | 936 | $48K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 803 | 779 | $40K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 736 | 731 | $38K |
| 90461 | 2.6% | 1,631 | 1,591 | $26K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 2,532 | 2,142 | $24K |
| 92587 | 2.1% | 860 | 860 | $21K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 328 | 322 | $19K |
| 92558 | <1% | 2,370 | 2,233 | $8K |
11 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 762 | $7K |
| 90686 | <1% | 623 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 71 | $3K |
| 96127 | <1% | 667 | $1K | |
| 99173 | <1% | 949 | $1K | |
| 90656 | <1% | 95 | $493.58 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $455.50 |
| 90685 | <1% | 13 | $254.87 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $87.61 |
| 99000 | <1% | 879 | $7.50 | |
| 99072 | 0% | 216 | $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 officialCOLLADO, MARIA (PRESIDENT)