Sadhana Pediatrics LLC

Sadhana Pediatrics LLC was paid $234K by Medicaid between Feb 2019 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoSADHANA PEDIATRICS LLC
SOMERSET, NJ 08873

33aNPI1831453984assigned 07/03/2012

33bProvider typePrimary Care Clinic/Center

28Total paid$234K

24GClaims8,529

24DCodes billed16

24AFirst – last monthFeb 2019 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in New Jersey

Rank by total paid#38 of 130

Median peer was paid$86K

This provider vs. median2.7×

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
2019	1,032	$31K
2020	849	$22K
2021	1,277	$36K
2022	2,034	$53K
2023	2,057	$57K
2024incomplete	1,280	$35K

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	33%	1,936	1,817	$77K
90460	Immunization administration through 18 years of age via any route, first or only component	19%	2,347	2,312	$45K
99401		11%	1,210	1,136	$26K
96110	Developmental screening, with scoring and documentation, per standardized instrument	9.9%	848	843	$23K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.5%	355	353	$18K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.3%	249	249	$12K
90461		4.3%	613	610	$10K
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	4.3%	212	200	$10K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.0%	143	140	$7K
90686		1.1%	433	429	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	40	40	$2K
90670		<1%	26	24	$664.72

4 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	$590.00
90656		<1%	62	$165.39
90633		<1%	15	$73.32
90648		<1%	25	$44.78

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 officialPARI, SADHANA (OWNER)