Medicaid Provider Spending

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

PASSAIC PEDIATRICS II PA

NPI: 1942256342 · PASSAIC, NJ 07055 · Pediatrics Physician · NPI assigned 05/26/2006

$19.95M
Total Medicaid Paid
726,710
Total Claims
688,490
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALMANZAR, RAUL (OWNER)
NPI Enumeration Date05/26/2006

Related Entities

Other providers sharing the same authorized official: ALMANZAR, RAUL

ProviderCityStateTotal Paid
THE AMBOYS PEDIATRICS PA PERTH AMBOY NJ $9.20M
NORTH BERGEN PEDIATRICS NORTH BERGEN NJ $2.89M
PASSAIC PEDIATRICS II PA PASSAIC NJ $2.43M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105,322 $3.33M
2019 88,196 $2.68M
2020 90,786 $2.65M
2021 103,849 $2.75M
2022 148,315 $3.54M
2023 112,571 $2.87M
2024 77,671 $2.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 107,565 97,759 $6.90M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 90,861 81,923 $3.72M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,095 29,258 $2.82M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12,207 11,971 $1.14M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13,038 12,683 $1.10M
90460 Immunization administration through 18 years of age via any route, first or only component 39,412 38,455 $721K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,066 7,950 $697K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,280 5,165 $411K
92551 25,823 25,273 $263K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 22,319 21,622 $248K
96110 Developmental screening, with scoring and documentation, per standardized instrument 17,506 17,142 $142K
90461 8,946 8,740 $141K
36415 Collection of venous blood by venipuncture 53,327 51,711 $140K
92552 5,797 5,791 $138K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,388 1,347 $127K
99188 5,351 5,284 $102K
96127 19,106 18,775 $92K
99441 1,878 1,831 $84K
90651 1,994 1,968 $81K
90620 1,717 1,683 $78K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 249 249 $77K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 9,000 8,981 $71K
90472 Immunization administration, each additional vaccine (list separately) 2,175 2,170 $54K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,901 3,857 $54K
95930 742 738 $44K
90686 11,959 11,884 $41K
90734 1,812 1,792 $38K
99173 26,905 26,226 $33K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,823 1,753 $33K
90670 2,678 2,656 $27K
3008F 75,724 69,326 $26K
96160 12,862 12,560 $26K
94010 770 767 $22K
81002 32,497 31,703 $21K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,367 1,234 $21K
81025 3,798 3,654 $20K
96161 7,904 7,738 $20K
0001A 417 417 $16K
0002A 347 347 $14K
0072A 339 335 $13K
97802 16,539 15,938 $12K
0071A 291 290 $12K
99381 156 154 $11K
92587 592 588 $10K
86580 1,572 1,541 $10K
85018 5,716 5,592 $10K
90723 1,064 1,058 $7K
99442 86 85 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 258 258 $5K
90688 571 571 $5K
94760 11,133 9,394 $5K
90633 1,567 1,538 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 52 52 $5K
90715 567 561 $4K
81001 4,131 4,082 $4K
83655 707 706 $3K
36406 199 196 $3K
36416 4,053 3,827 $3K
90710 184 184 $3K
90716 211 210 $3K
90661 749 738 $2K
90685 267 265 $2K
90680 882 874 $1K
69210 28 28 $945.88
90707 119 118 $937.59
90648 1,959 1,935 $931.73
90474 72 71 $736.62
90696 139 139 $718.72
92558 76 76 $665.44
90677 238 220 $243.00
94664 14 12 $179.50
90658 70 70 $81.60
90700 30 30 $56.93
90744 32 27 $51.71
91307 730 697 $19.00
91300 813 772 $19.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 790 768 $0.00
90698 54 53 $0.00
87807 16 16 $0.00
90687 38 38 $0.00