Managed care
Family Pediatrics. LLC
Family Pediatrics. LLC was paid $1.71M by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoFAMILY PEDIATRICS. LLC
WAYNE, NJ 07470
WAYNE, NJ 07470
33aNPI1952541963assigned 03/03/2009
33bProvider typeExclusive Provider Organization
28Total paid$1.71M
24GClaims72,481
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in New Jersey
Rank by total paid#4 of 13
Median peer was paid$159K
This provider vs. median11×
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 | 21,620 | $638K | |
| 2019 | 9,425 | $254K | |
| 2020 | 8,345 | $187K | |
| 2021 | 10,421 | $242K | |
| 2022 | 9,976 | $173K | |
| 2023 | 7,423 | $138K | |
| 2024incomplete | 5,271 | $82K |
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 | 42% | 17,933 | 14,961 | $723K |
| 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 | 12% | 4,817 | 4,499 | $214K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 6,265 | 5,715 | $111K |
| 99401 | 5.8% | 7,928 | 6,810 | $99K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.8% | 3,647 | 3,540 | $82K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 1,357 | 1,341 | $56K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 1,214 | 1,191 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 1,154 | 1,144 | $50K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.8% | 163 | 163 | $47K |
| 92587 | 2.2% | 2,130 | 1,889 | $38K | |
| 36410 | 1.8% | 2,301 | 1,987 | $31K | |
| 90461 | 1.6% | 1,929 | 1,852 | $27K |
52 more codes
| 92588 | 1.5% | 1,004 | $26K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 668 | $26K |
| 96111 | 1.3% | 438 | $22K | |
| 99402 | 1.2% | 2,076 | $21K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,537 | $20K |
| 95930 | <1% | 270 | $9K | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 512 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 230 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 112 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 76 | $7K |
| 90651 | <1% | 204 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,218 | $4K |
| 94060 | <1% | 86 | $4K | |
| 90686 | <1% | 996 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 185 | $2K |
| 96127 | <1% | 623 | $2K | |
| 90734 | <1% | 86 | $2K | |
| 86413 | <1% | 392 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 83 | $1K |
| 36400 | <1% | 81 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $1K |
| 81002 | <1% | 3,130 | $1K | |
| 90670 | <1% | 162 | $905.72 | |
| 99173 | <1% | 1,628 | $672.56 | |
| 90658 | <1% | 260 | $670.21 | |
| 90649 | <1% | 49 | $661.96 | |
| 87110 | <1% | 21 | $267.80 | |
| 90710 | <1% | 14 | $262.37 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 88 | $216.84 |
| 96160 | <1% | 177 | $216.66 | |
| 90715 | <1% | 35 | $198.69 | |
| 90633 | <1% | 153 | $184.34 | |
| 83655 | <1% | 82 | $150.73 | |
| 90656 | <1% | 84 | $84.17 | |
| 90700 | <1% | 13 | $71.23 | |
| 90648 | <1% | 54 | $37.88 | |
| 97802 | <1% | 12 | $20.95 | |
| 90657 | <1% | 57 | $17.03 | |
| 99000 | <1% | 738 | $11.25 | |
| 99051 | <1% | 17 | $5.00 | |
| 3008F | 0% | 2,235 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 36 | $0.00 |
| 90716 | 0% | 14 | $0.00 | |
| 87081 | 0% | 131 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 98 | $0.00 |
| 81005 | 0% | 46 | $0.00 | |
| 90723 | 0% | 15 | $0.00 | |
| 2001F | 0% | 47 | $0.00 | |
| 2000F | 0% | 43 | $0.00 | |
| 4120F | 0% | 235 | $0.00 | |
| 90681 | 0% | 14 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 52 | $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 officialOBILO, IWUOZO (PRESIDENT)