Holly City Pediatrics,pa

Holly City Pediatrics,pa was paid $1.16M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 28% of everything it billed.

33Billing provider infoHOLLY CITY PEDIATRICS,PA
MILLVILLE, NJ 08332

33aNPI1801925466assigned 03/02/2007

33bProvider typePediatrics Physician

28Total paid$1.16M

24GClaims93,655

24DCodes billed48

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#111 of 549

Median peer was paid$154K

This provider vs. median7.5×

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	14,524	$152K
2019	11,490	$135K
2020	10,053	$140K
2021	12,385	$171K
2022	16,305	$185K
2023	16,890	$197K
2024incomplete	12,008	$177K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	28%	15,268	14,926	$323K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	14%	4,913	4,862	$164K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	13%	4,348	4,312	$146K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	11%	3,604	3,508	$124K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	8.7%	3,004	2,965	$101K
90461		8.6%	5,987	5,872	$99K
90677		5.5%	286	281	$64K
99188		3.0%	2,300	2,284	$34K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	19,088	18,257	$28K
90651		<1%	436	423	$12K
90686		<1%	2,856	2,801	$9K
90734		<1%	497	490	$9K

36 more codes

90621		<1%	200	$6K
99214	Doctor's office visit, returning patient (more involved)	<1%	1,038	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	4,458	$4K
92551		<1%	9,171	$4K
0071A		<1%	92	$4K
90670		<1%	767	$3K
36416		<1%	274	$3K
0001A		<1%	57	$2K
0072A		<1%	50	$2K
90710		<1%	83	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	86	$1K
90698		<1%	683	$990.88
83655		<1%	77	$660.00
90715		<1%	117	$646.62
90656		<1%	32	$626.39
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	7,813	$600.46
0081A		<1%	15	$600.00
99383		<1%	14	$566.34
0002A		<1%	13	$520.00
90633		<1%	419	$505.92
96127		<1%	2,695	$477.77
90696		<1%	69	$275.24
99381		<1%	17	$264.00
90680		<1%	328	$189.15
99173		<1%	1,253	$189.01
90716		<1%	24	$150.98
90700		<1%	37	$65.76
90744		<1%	241	$53.72
90648		<1%	12	$17.63
91300		<1%	215	$1.00
91307		<1%	265	$1.00
99080		0%	373	$0.00
91308		0%	33	$0.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	21	$0.00
99441		0%	12	$0.00
87081		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 officialSERRANO, LILY (OFFICE MANAGER)