Medicaid Provider Spending

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

HEALTHY KIDS PEDIATRICS, LLC

NPI: 1811361207 · NUTLEY, NJ 07110 · Medical Specialty Clinic/Center · NPI assigned 11/23/2015

$4K
Total Medicaid Paid
300
Total Claims
274
Beneficiaries
7
Codes Billed
2018-02
First Month
2020-11
Last Month

Provider Details

Authorized OfficialPEDALINO, JILL (OWNER/MANAGING MEMBER)
NPI Enumeration Date11/23/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 118 $2K
2019 25 $407.18
2020 157 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54 41 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60 55 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 41 41 $701.50
90686 65 65 $501.85
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $138.00
99051 30 26 $0.00
99072 38 34 $0.00