North Bergen Pediatrics
North Bergen Pediatrics was paid $2.89M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoNORTH BERGEN PEDIATRICS
NORTH BERGEN, NJ 07047
NORTH BERGEN, NJ 07047
33aNPI1942546106assigned 12/17/2012
33bProvider typeSpecialist
28Total paid$2.89M
24GClaims113,494
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#20 of 378
Median peer was paid$63K
This provider vs. median46×
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 | 13,545 | $462K | |
| 2019 | 10,263 | $303K | |
| 2020 | 148 | $5K | |
| 2021 | 10,732 | $318K | |
| 2022 | 19,322 | $590K | |
| 2023 | 26,912 | $654K | |
| 2024incomplete | 32,572 | $556K |
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 | 31% | 14,373 | 13,154 | $909K |
| 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 | 23% | 7,012 | 6,407 | $650K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 8,601 | 7,880 | $332K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 2,234 | 2,182 | $189K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 1,847 | 1,799 | $156K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 6,786 | 6,520 | $124K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 782 | 761 | $72K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.4% | 2,272 | 2,170 | $69K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 841 | 824 | $66K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 5,980 | 5,693 | $49K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 2,420 | 2,364 | $29K |
| 92551 | <1% | 2,879 | 2,795 | $26K |
71 more codes
| 90461 | <1% | 1,196 | $21K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 1,511 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,350 | $18K |
| 90619 | <1% | 132 | $16K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,095 | $15K |
| 92552 | <1% | 594 | $15K | |
| 96127 | <1% | 4,114 | $15K | |
| 90671 | <1% | 214 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 597 | $8K |
| 99188 | <1% | 450 | $7K | |
| 96161 | <1% | 3,087 | $6K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 291 | $6K |
| 97803 | <1% | 1,977 | $5K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 12 | $4K |
| 3008F | <1% | 4,927 | $4K | |
| 90686 | <1% | 2,261 | $3K | |
| 83655 | <1% | 576 | $3K | |
| 99173 | <1% | 4,158 | $3K | |
| 95930 | <1% | 53 | $3K | |
| 90651 | <1% | 60 | $3K | |
| 92587 | <1% | 163 | $3K | |
| 90697 | <1% | 28 | $3K | |
| 99383 | <1% | 26 | $2K | |
| 81002 | <1% | 4,304 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 156 | $2K |
| 90661 | <1% | 286 | $2K | |
| 96160 | <1% | 1,172 | $2K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 114 | $2K |
| 0071A | <1% | 40 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 137 | $2K |
| 90688 | <1% | 109 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 79 | $1K |
| 0072A | <1% | 25 | $1K | |
| 90710 | <1% | 31 | $990.18 | |
| 36410 | <1% | 65 | $903.16 | |
| 99408 | <1% | 698 | $807.80 | |
| 85018 | <1% | 424 | $698.65 | |
| 90670 | <1% | 190 | $679.29 | |
| 90633 | <1% | 169 | $658.14 | |
| 90715 | <1% | 66 | $572.82 | |
| 97802 | <1% | 62 | $503.97 | |
| 90734 | <1% | 13 | $404.31 | |
| 87807 | <1% | 27 | $220.84 | |
| 90680 | <1% | 84 | $185.63 | |
| 90696 | <1% | 12 | $124.42 | |
| 90474 | <1% | 15 | $121.00 | |
| 90681 | <1% | 29 | $117.93 | |
| 94760 | <1% | 342 | $91.09 | |
| 81025 | <1% | 14 | $84.39 | |
| H0049 | Alcohol and/or drug screening | <1% | 742 | $48.50 |
| 94762 | <1% | 15 | $41.91 | |
| 87110 | <1% | 385 | $17.00 | |
| 91307 | <1% | 65 | $16.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 15 | $10.20 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 681 | $7.25 |
| 87081 | <1% | 66 | $2.82 | |
| 4293F | <1% | 388 | $1.00 | |
| 2010F | 0% | 2,433 | $0.00 | |
| 1000F | 0% | 707 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 718 | $0.00 |
| 1036F | 0% | 729 | $0.00 | |
| 2001F | 0% | 2,434 | $0.00 | |
| 36416 | 0% | 48 | $0.00 | |
| 90698 | 0% | 15 | $0.00 | |
| 92558 | 0% | 14 | $0.00 | |
| 3016F | 0% | 435 | $0.00 | |
| 3725F | 0% | 1,006 | $0.00 | |
| 1159F | 0% | 2,427 | $0.00 | |
| 1160F | 0% | 2,428 | $0.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 169 | $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 officialALMANZAR, RAUL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Passaic Pediatrics II PA | Passaic, NJ | $19.95M |
| The Amboys Pediatrics PA | Perth Amboy, NJ | $9.20M |
| Passaic Pediatrics II PA | Passaic, NJ | $2.43M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.