Women and Children Primary Care of Passaic

Women and Children Primary Care of Passaic was paid $805K by Medicaid between Jan 2018 and Sep 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoWOMEN AND CHILDREN PRIMARY CARE OF PASSAIC
PASSAIC, NJ 07055

33aNPI1831278282assigned 11/06/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$805K

24GClaims21,176

24DCodes billed26

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New Jersey

Rank by total paid#32 of 186

Median peer was paid$75K

This provider vs. median11×

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	5,565	$218K
2019	4,061	$151K
2020	3,069	$102K
2021	2,211	$96K
2022	3,452	$134K
2023	2,486	$99K
2024incomplete	332	$6K

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	21%	4,590	3,555	$168K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	19%	4,239	3,534	$156K
76830	Ultrasound, transvaginal	19%	2,030	1,982	$150K
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	13%	1,815	1,733	$105K
99205	Prolong outpt/office vis	9.4%	772	767	$76K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.1%	856	806	$49K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	4.6%	479	479	$37K
99402		1.5%	352	317	$12K
58100		1.2%	238	230	$9K
88150		1.0%	1,495	1,488	$8K
87110		<1%	659	657	$7K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	527	500	$6K

14 more codes

77080		<1%	188	$4K
99215	Doctor's office visit, returning patient (complex)	<1%	86	$4K
87075		<1%	653	$4K
81000		<1%	1,666	$2K
57454		<1%	31	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	14	$1K
59025	Fetal non-stress test	<1%	65	$929.57
84703		<1%	166	$621.67
57452		<1%	13	$613.45
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	$546.29
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	138	$490.94
36415	Collection of venous blood by venipuncture	<1%	51	$94.15
0502F		0%	23	$0.00
74176	Computed tomography, abdomen and pelvis; without contrast material	0%	18	$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 officialCRESPO, MARILYN (OFFICE MANAGER)