Medicaid Provider Spending

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

COMPLETE CARE PEDIATRICS, L.L.C.

NPI: 1932237963 · HOLMDEL, NJ 07733 · Pediatrics Physician · NPI assigned 03/01/2007

$15K
Total Medicaid Paid
437
Total Claims
408
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialYIA, GRACE (PARTNER)
NPI Enumeration Date03/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 114 $4K
2019 195 $6K
2020 115 $4K
2021 13 $18.46

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 144 130 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 94 87 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 121 114 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $358.45
99173 65 65 $90.88