Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Passaic Pediatrics PA

Passaic Pediatrics PA was paid $17.57M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoPASSAIC PEDIATRICS PA
PASSAIC, NJ 07055
33aNPI1942384888assigned 10/25/2006
33bProvider typePediatrics Physician
28Total paid$17.57M
24GClaims484,612
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#5 of 549
Median peer was paid$154K
This provider vs. median114×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201866,142$2.63M
201965,673$2.60M
202057,726$1.80M
202156,399$2.07M
202284,043$3.08M
202384,944$2.99M
2024incomplete69,685$2.39M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50% 129,269 119,831 $8.81M
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 9.2% 16,849 16,069 $1.62M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.3% 15,980 15,959 $1.45M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7.9% 13,830 13,813 $1.39M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.0% 11,738 11,696 $1.05M
90460 Immunization administration through 18 years of age via any route, first or only component 5.1% 43,946 43,339 $902K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.8% 8,282 8,058 $668K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.1% 2,005 1,996 $201K
90461 1.1% 12,756 12,658 $197K
36415 Collection of venous blood by venipuncture <1% 48,060 47,193 $174K
92558 <1% 16,774 16,592 $147K
99188 <1% 5,994 5,970 $115K
57 more codes
96127 <1% 25,595 $104K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,151 $83K
97802 <1% 15,805 $82K
90651 <1% 1,814 $77K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,293 $60K
99381 <1% 676 $55K
90620 <1% 1,508 $49K
90734 <1% 1,847 $42K
90686 <1% 10,569 $39K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,535 $35K
86580 <1% 4,694 $34K
96160 <1% 14,547 $31K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,348 $20K
92551 <1% 2,469 $19K
90677 <1% 1,042 $19K
90670 <1% 2,031 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 544 $11K
99173 <1% 7,323 $9K
83655 <1% 8,649 $6K
3008F <1% 606 $6K
90698 <1% 1,567 $5K
90710 <1% 289 $4K
A7016 Dome and mouthpiece, used with small volume ultrasonic nebulizer <1% 799 $4K
90633 <1% 1,307 $4K
94760 <1% 12,185 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 359 $3K
90680 <1% 1,577 $3K
69210 <1% 82 $3K
90715 <1% 434 $2K
92015 Determination of refractive state <1% 748 $2K
85018 <1% 772 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 86 $2K
0071A <1% 36 $1K
J7030 Infusion, normal saline solution , 1000 cc <1% 384 $1K
0072A <1% 37 $1K
90744 <1% 1,144 $1K
99203 Doctor's office visit, new patient (routine) <1% 13 $1K
90716 <1% 130 $1K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 798 $1K
81002 <1% 1,757 $895.65
90696 <1% 239 $856.06
87081 <1% 12,322 $727.46
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 599 $570.14
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 6,833 $477.46
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 32 $393.74
90707 <1% 83 $242.81
90648 <1% 448 $167.68
36416 <1% 779 $106.41
82948 <1% 27 $94.16
90688 <1% 40 $85.62
3074F <1% 1,091 $67.01
3078F <1% 908 $51.01
90685 <1% 16 $40.13
99051 <1% 30 $15.15
90723 <1% 53 $6.00
90700 0% 39 $0.00
4025F 0% 40 $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 officialCAMILO, ANTONIO (MD-OWNER-PRESIDENT)