Physician
Endaya-Aguila, Thelma
Endaya-Aguila, Thelma was paid $342K by Medicaid between Jan 2018 and Jan 2023, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoENDAYA-AGUILA, THELMA
JERSEY CITY, NJ 07306
JERSEY CITY, NJ 07306
33aNPI1841223534assigned 07/08/2006
33bProvider typePediatrics Physician
28Total paid$342K
24GClaims12,765
24DCodes billed20
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#214 of 549
Median peer was paid$154K
This provider vs. median2.2×
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 | 3,457 | $113K | |
| 2019 | 3,360 | $106K | |
| 2020 | 2,033 | $45K | |
| 2021 | 3,151 | $58K | |
| 2022 | 751 | $19K | |
| 2023 | 13 | $811.44 |
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 | 27% | 2,069 | 1,876 | $93K |
| 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 | 23% | 1,285 | 1,225 | $79K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 2,199 | 2,166 | $48K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 545 | 525 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 427 | 404 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 398 | 383 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.0% | 1,209 | 1,175 | $14K |
| 99402 | 2.3% | 638 | 617 | $8K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 128 | 125 | $6K |
| 90461 | 1.8% | 385 | 376 | $6K | |
| 3008F | 1.5% | 1,342 | 1,304 | $5K | |
| 90686 | 1.1% | 432 | 420 | $4K |
8 more codes
| 99173 | <1% | 1,247 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $967.75 |
| 96127 | <1% | 173 | $441.89 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 67 | $103.32 |
| 90647 | 0% | 13 | $0.00 | |
| 97803 | 0% | 149 | $0.00 | |
| 96160 | 0% | 15 | $0.00 | |
| 90670 | 0% | 16 | $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.