Physician
Primary Care Pediatrics PC
Primary Care Pediatrics PC was paid $255K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoPRIMARY CARE PEDIATRICS PC
SOMERSET, NJ 08873
SOMERSET, NJ 08873
33aNPI1982077434assigned 11/05/2015
33bProvider typePediatrics Physician
28Total paid$255K
24GClaims10,330
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#235 of 549
Median peer was paid$154K
This provider vs. median1.7×
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 | 885 | $30K | |
| 2019 | 1,141 | $33K | |
| 2020 | 1,088 | $26K | |
| 2021 | 1,253 | $32K | |
| 2022 | 2,549 | $54K | |
| 2023 | 2,015 | $44K | |
| 2024incomplete | 1,399 | $36K |
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 | 70% | 4,008 | 3,329 | $179K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12% | 2,454 | 2,274 | $31K |
| 92551 | 4.5% | 1,124 | 1,059 | $12K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.7% | 585 | 545 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 124 | 122 | $7K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.9% | 174 | 149 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 79 | 78 | $5K |
| 90686 | 1.5% | 583 | 539 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 268 | 122 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | 25 | $1K |
| 99173 | <1% | 630 | 566 | $1K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 214 | 187 | $1K |
2 more codes
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 officialPARSI, PRAKASHAM (OWNER)