Medicaid Provider Spending

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

PEDIATRICS & ADOLESCENT SAINT MARY CLINIC, LLC

NPI: 1831555705 · KEARNY, NJ 07032 · Pediatric Adolescent Medicine Physician · NPI assigned 01/08/2016

$3.45M
Total Medicaid Paid
108,109
Total Claims
96,397
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWASSEF, INAS (OWNER)
NPI Enumeration Date01/08/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,628 $497K
2019 16,149 $598K
2020 15,493 $483K
2021 15,406 $472K
2022 21,426 $586K
2023 14,723 $311K
2024 13,284 $505K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37,358 28,344 $1.89M
90460 Immunization administration through 18 years of age via any route, first or only component 13,766 12,955 $281K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,221 3,202 $196K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,493 2,471 $156K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,266 2,205 $137K
92552 5,844 5,780 $100K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,287 2,115 $89K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,418 2,357 $89K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,213 1,208 $82K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,411 7,003 $82K
90461 3,324 3,273 $72K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 780 778 $57K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,299 2,269 $35K
90671 145 142 $25K
90677 119 118 $25K
99188 1,581 1,572 $24K
99442 878 864 $22K
99173 4,400 4,356 $11K
90670 634 584 $11K
99443 342 332 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 190 187 $7K
90651 486 430 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 799 765 $6K
90686 2,014 1,772 $6K
92551 494 485 $4K
90716 491 440 $3K
3008F 4,420 4,365 $3K
90734 191 190 $3K
99382 28 28 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 170 164 $2K
90656 450 445 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28 28 $2K
99383 25 25 $2K
90633 794 712 $1K
97802 1,988 1,948 $1K
99441 75 75 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 65 60 $1K
99241 18 17 $966.90
90621 50 50 $637.68
90707 104 94 $525.10
90715 149 124 $434.90
90744 503 455 $400.14
90710 87 76 $400.00
90680 602 545 $375.59
86580 85 84 $353.68
83655 17 17 $340.18
90700 55 49 $162.12
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) 29 22 $128.05
90698 669 603 $125.00
90685 139 111 $79.38
99401 12 12 $72.72
90648 43 38 $31.30
81003 15 14 $12.50
90696 45 39 $0.00