Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Associates PA

Pediatric Associates PA was paid $94K by Medicaid between Jan 2018 and Jul 2018, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoPEDIATRIC ASSOCIATES PA
NEPTUNE, NJ 07753
33aNPI1992839757assigned 03/15/2007
33bProvider typePediatrics Physician
28Total paid$94K
24GClaims2,957
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#309 of 549
Median peer was paid$154K
This provider vs. median0.6×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,957$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 55% 935 850 $51K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16% 370 334 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5.2% 344 335 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.1% 100 94 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.5% 213 213 $3K
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 3.0% 39 37 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.2% 177 172 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.2% 43 38 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.1% 29 27 $2K
92568 1.6% 204 204 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 1.2% 53 47 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 20 15 $820.12
8 more codes
92567 <1% 59 $531.24
81000 <1% 211 $368.96
90472 Immunization administration, each additional vaccine (list separately) <1% 32 $334.34
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 27 $240.19
90461 <1% 12 $140.00
99173 <1% 33 $77.99
96127 <1% 26 $54.78
94760 <1% 30 $13.04

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 officialYEE, MARY (PRESIDENT)