Clinic
Shore Medicine & Pediatrics Associates P a
Shore Medicine & Pediatrics Associates P a was paid $2.23M by Medicaid between Jun 2018 and Nov 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSHORE MEDICINE & PEDIATRICS ASSOCIATES P A
SHREWSBURY, NJ 07702
SHREWSBURY, NJ 07702
33aNPI1942731450assigned 03/26/2017
33bProvider typePrimary Care Clinic/Center
28Total paid$2.23M
24GClaims71,583
24DCodes billed50
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#7 of 130
Median peer was paid$86K
This provider vs. median26×
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 | 6,118 | $207K | |
| 2019 | 13,187 | $457K | |
| 2020 | 10,964 | $361K | |
| 2021 | 10,816 | $355K | |
| 2022 | 14,176 | $398K | |
| 2023 | 10,253 | $287K | |
| 2024incomplete | 6,069 | $165K |
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 | 39% | 20,127 | 17,544 | $866K |
| 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 | 14% | 4,794 | 4,448 | $317K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 11,659 | 11,203 | $222K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 2,157 | 2,082 | $138K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 2,010 | 1,956 | $129K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 1,341 | 1,300 | $91K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 1,343 | 1,275 | $79K |
| 87428 | 3.3% | 1,423 | 1,250 | $74K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.9% | 3,965 | 3,839 | $64K |
| 92587 | 2.8% | 3,857 | 3,695 | $63K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 674 | 651 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 781 | 741 | $23K |
38 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,132 | $20K |
| 90686 | <1% | 1,920 | $19K | |
| 90674 | <1% | 1,159 | $15K | |
| 99177 | <1% | 2,500 | $12K | |
| 99401 | <1% | 879 | $10K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 128 | $7K |
| 90651 | <1% | 112 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 397 | $5K |
| 90619 | <1% | 49 | $4K | |
| 90671 | <1% | 48 | $4K | |
| 90461 | <1% | 495 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 430 | $4K |
| 92567 | <1% | 431 | $3K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 321 | $3K |
| 97802 | <1% | 868 | $3K | |
| 90661 | <1% | 118 | $3K | |
| 87400 | <1% | 1,590 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 834 | $2K |
| 90670 | <1% | 143 | $948.46 | |
| 90715 | <1% | 57 | $938.45 | |
| 93000 | <1% | 54 | $836.68 | |
| 99173 | <1% | 618 | $749.89 | |
| 90716 | <1% | 25 | $574.48 | |
| 90656 | <1% | 15 | $335.07 | |
| 92558 | <1% | 126 | $239.42 | |
| 86580 | <1% | 41 | $174.26 | |
| 90700 | <1% | 123 | $172.40 | |
| 90473 | <1% | 12 | $142.52 | |
| 90713 | <1% | 49 | $87.77 | |
| 90633 | <1% | 43 | $86.00 | |
| 99000 | <1% | 1,243 | $82.50 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 30 | $57.94 |
| 3008F | <1% | 331 | $49.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 30 | $24.00 |
| 90648 | <1% | 28 | $22.83 | |
| A4616 | Tubing (oxygen), per foot | <1% | 30 | $19.00 |
| 90698 | 0% | 30 | $0.00 | |
| 90707 | 0% | 13 | $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 officialRAJARAMAN, RAVINDRAN (CEO)