Shore Health Group, PC

Shore Health Group, PC was paid $3.34M by Medicaid between Jan 2018 and Jun 2021, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoSHORE HEALTH GROUP, PC
OCEAN, NJ 07712

33aNPI1902944416assigned 02/05/2007

33bProvider typePediatrics Physician

28Total paid$3.34M

24GClaims115,240

24DCodes billed65

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#42 of 549

Median peer was paid$154K

This provider vs. median22×

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	35,514	$1.11M
2019	37,301	$1.12M
2020	32,905	$811K
2021	9,520	$300K

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	43%	32,103	28,560	$1.45M
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	19%	9,766	8,873	$637K
90460	Immunization administration through 18 years of age via any route, first or only component	7.4%	12,757	12,315	$248K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.7%	2,835	2,830	$224K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.2%	2,626	2,586	$206K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.4%	1,730	1,725	$147K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.3%	1,078	1,034	$76K
90461		1.5%	3,390	3,314	$50K
92587		1.4%	3,420	3,413	$47K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.1%	5,766	5,673	$37K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	2,981	2,944	$35K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.0%	4,095	3,967	$34K

53 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,148	$30K
90686		<1%	1,030	$13K
99203	Doctor's office visit, new patient (routine)	<1%	187	$11K
97802		<1%	3,756	$10K
96127		<1%	2,995	$9K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	987	$9K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	62	$8K
3008F		<1%	8,267	$6K
99307		<1%	659	$6K
99308	Subsequent nursing facility care, per day, straightforward	<1%	773	$6K
99215	Doctor's office visit, returning patient (complex)	<1%	48	$4K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	281	$3K
92558		<1%	455	$3K
99232	Hospital visit by a doctor, follow-up day	<1%	86	$3K
92552		<1%	152	$3K
97803		<1%	2,377	$3K
90472	Immunization administration, each additional vaccine (list separately)	<1%	214	$3K
85018		<1%	1,372	$3K
99336		<1%	169	$2K
94667		<1%	116	$2K
99401		<1%	187	$1K
93000		<1%	116	$1K
99173		<1%	1,078	$1K
99223	Prolong inpt eval add15 m	<1%	16	$1K
92567		<1%	123	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	109	$791.87
99305		<1%	27	$674.65
81002		<1%	1,420	$671.66
92568		<1%	76	$670.06
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	12	$458.20
96160		<1%	296	$446.27
99222	Initial hospital care, per day, moderate complexity	<1%	15	$426.92
99337		<1%	33	$403.34
99442		<1%	23	$388.12
90658		<1%	62	$323.30
92588		<1%	16	$274.85
11721		<1%	28	$190.80
81000		<1%	53	$111.77
36416		<1%	18	$95.52
99348		<1%	86	$81.25
99174		<1%	12	$64.71
81003		<1%	172	$55.56
90688		<1%	14	$34.52
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	962	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	707	$0.00
99000		0%	145	$0.00
99335		0%	16	$0.00
99309	Subsequent nursing facility care, per day, low to moderate complexity	0%	19	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	25	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	782	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	205	$0.00
99072		0%	679	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	27	$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 officialBERI, GAGAN (PRESIDENT)