Physician
Pediatrics & Adolescent Saint Mary Clinic, LLC
Pediatrics & Adolescent Saint Mary Clinic, LLC was paid $3.45M by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoPEDIATRICS & ADOLESCENT SAINT MARY CLINIC, LLC
KEARNY, NJ 07032
KEARNY, NJ 07032
33aNPI1831555705assigned 01/08/2016
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$3.45M
24GClaims108,109
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New Jersey
Rank by total paid#5 of 56
Median peer was paid$178K
This provider vs. median19×
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 | 11,628 | $497K | |
| 2019 | 16,149 | $598K | |
| 2020 | 15,493 | $483K | |
| 2021 | 15,406 | $472K | |
| 2022 | 21,426 | $586K | |
| 2023 | 14,723 | $311K | |
| 2024incomplete | 13,284 | $505K |
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 | 55% | 37,358 | 28,344 | $1.89M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.1% | 13,766 | 12,955 | $281K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 3,221 | 3,202 | $196K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 2,493 | 2,471 | $156K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 2,266 | 2,205 | $137K |
| 92552 | 2.9% | 5,844 | 5,780 | $100K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.6% | 2,287 | 2,115 | $89K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 2,418 | 2,357 | $89K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 1,213 | 1,208 | $82K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 7,411 | 7,003 | $82K |
| 90461 | 2.1% | 3,324 | 3,273 | $72K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 780 | 778 | $57K |
42 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.0% | 2,299 | $35K |
| 90671 | <1% | 145 | $25K | |
| 90677 | <1% | 119 | $25K | |
| 99188 | <1% | 1,581 | $24K | |
| 99442 | <1% | 878 | $22K | |
| 99173 | <1% | 4,400 | $11K | |
| 90670 | <1% | 634 | $11K | |
| 99443 | <1% | 342 | $10K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 190 | $7K |
| 90651 | <1% | 486 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 799 | $6K |
| 90686 | <1% | 2,014 | $6K | |
| 92551 | <1% | 494 | $4K | |
| 90716 | <1% | 491 | $3K | |
| 3008F | <1% | 4,420 | $3K | |
| 90734 | <1% | 191 | $3K | |
| 99382 | <1% | 28 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 170 | $2K |
| 90656 | <1% | 450 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 28 | $2K |
| 99383 | <1% | 25 | $2K | |
| 90633 | <1% | 794 | $1K | |
| 97802 | <1% | 1,988 | $1K | |
| 99441 | <1% | 75 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 65 | $1K |
| 99241 | <1% | 18 | $966.90 | |
| 90621 | <1% | 50 | $637.68 | |
| 90707 | <1% | 104 | $525.10 | |
| 90715 | <1% | 149 | $434.90 | |
| 90744 | <1% | 503 | $400.14 | |
| 90710 | <1% | 87 | $400.00 | |
| 90680 | <1% | 602 | $375.59 | |
| 86580 | <1% | 85 | $353.68 | |
| 83655 | <1% | 17 | $340.18 | |
| 90700 | <1% | 55 | $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) | <1% | 29 | $128.05 |
| 90698 | <1% | 669 | $125.00 | |
| 90685 | <1% | 139 | $79.38 | |
| 99401 | <1% | 12 | $72.72 | |
| 90648 | <1% | 43 | $31.30 | |
| 81003 | <1% | 15 | $12.50 | |
| 90696 | 0% | 45 | $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 officialWASSEF, INAS (OWNER)