Eastside Pediatrics LLC

Eastside Pediatrics LLC was paid $667K by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoEASTSIDE PEDIATRICS LLC
PATERSON, NJ 07514

33aNPI1982905626assigned 11/11/2010

33bProvider typePediatrics Physician

28Total paid$667K

24GClaims20,808

24DCodes billed34

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#146 of 549

Median peer was paid$154K

This provider vs. median4.3×

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	3,393	$132K
2019	3,816	$132K
2020	2,886	$82K
2021	3,638	$112K
2022	4,459	$124K
2023	967	$30K
2024incomplete	1,649	$55K

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	47%	6,885	6,357	$311K
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	10%	1,145	1,114	$70K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.2%	947	946	$55K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	8.0%	866	863	$53K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.9%	763	730	$40K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	5.2%	3,139	3,039	$35K
90472	Immunization administration, each additional vaccine (list separately)	4.6%	1,550	1,512	$31K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.5%	750	735	$24K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.6%	329	321	$17K
90460	Immunization administration through 18 years of age via any route, first or only component	1.1%	414	365	$7K
99188		1.0%	393	390	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	419	410	$4K

22 more codes

90619		<1%	35	$3K
90620		<1%	28	$2K
90658		<1%	343	$2K
99173		<1%	1,310	$2K
90461		<1%	149	$1K
90686		<1%	681	$1K
90734		<1%	54	$841.61
90670		<1%	190	$654.86
90651		<1%	33	$626.45
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	15	$254.05
99441		<1%	13	$91.10
90633		<1%	69	$71.48
90723		<1%	100	$60.58
90715		<1%	13	$50.48
90647		<1%	21	$28.87
83655		<1%	28	$14.54
81002		<1%	14	$9.86
36415	Collection of venous blood by venipuncture	<1%	12	$6.56
85018		<1%	27	$5.58
90696		0%	12	$0.00
90648		0%	46	$0.00
90710		0%	15	$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 officialLESESNE, MERCEDES (PHYSICIAN)