Clinic
Abc Pediatrics, INC.
Abc Pediatrics, INC. was paid $1.51M by Medicaid between Jan 2018 and Nov 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoABC PEDIATRICS, INC.
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1912191388assigned 08/29/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$1.51M
24GClaims49,273
24DCodes billed49
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#10 of 130
Median peer was paid$86K
This provider vs. median18×
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 | 2,571 | $114K | |
| 2019 | 2,613 | $109K | |
| 2020 | 1,764 | $62K | |
| 2021 | 2,074 | $90K | |
| 2022 | 14,299 | $334K | |
| 2023 | 15,464 | $439K | |
| 2024incomplete | 10,488 | $362K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 6,017 | 5,404 | $400K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 6,588 | 6,027 | $312K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.6% | 2,309 | 2,253 | $130K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 2,421 | 2,370 | $126K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 4,616 | 4,517 | $98K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 1,499 | 1,482 | $76K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.0% | 3,000 | 2,947 | $75K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 1,387 | 1,359 | $63K |
| 90651 | 2.3% | 591 | 561 | $35K | |
| 90671 | 2.2% | 202 | 199 | $33K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 1,991 | 1,950 | $25K |
| 90734 | 1.3% | 580 | 541 | $20K |
37 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.0% | 920 | $15K |
| 90461 | <1% | 1,227 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,455 | $14K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 964 | $10K |
| 3008F | <1% | 2,314 | $9K | |
| 90716 | <1% | 602 | $9K | |
| 90670 | <1% | 598 | $5K | |
| 90707 | <1% | 522 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 489 | $4K |
| 90686 | <1% | 1,157 | $4K | |
| 90715 | <1% | 346 | $3K | |
| 90700 | <1% | 1,263 | $2K | |
| 90713 | <1% | 1,011 | $2K | |
| 90674 | <1% | 149 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 32 | $2K |
| 96112 | <1% | 26 | $2K | |
| 94667 | <1% | 125 | $2K | |
| 90633 | <1% | 428 | $2K | |
| 99401 | <1% | 278 | $2K | |
| 99173 | <1% | 613 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 643 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $908.68 |
| 94664 | <1% | 92 | $905.11 | |
| 90680 | <1% | 285 | $812.95 | |
| 36410 | <1% | 33 | $586.09 | |
| 90648 | <1% | 931 | $584.60 | |
| 90744 | <1% | 424 | $528.79 | |
| 83655 | <1% | 59 | $445.12 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $105.55 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 433 | $35.67 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 35 | $28.00 |
| 97802 | <1% | 18 | $23.04 | |
| 36416 | 0% | 155 | $0.00 | |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | 0% | 351 | $0.00 |
| 36406 | 0% | 15 | $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 officialLIBIS, MICHAEL (OFFICE MANAGER)