Clinic
Botrous, Suzanne
Botrous, Suzanne was paid $132K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 30% of everything it billed.
33Billing provider infoBOTROUS, SUZANNE
EAST ORANGE, NJ 07018
EAST ORANGE, NJ 07018
33aNPI1992861116assigned 12/29/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$132K
24GClaims36,880
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#54 of 130
Median peer was paid$86K
This provider vs. median1.5×
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 | 5,659 | $11K | |
| 2019 | 3,250 | $8K | |
| 2020 | 5,040 | $15K | |
| 2021 | 6,535 | $23K | |
| 2022 | 6,777 | $27K | |
| 2023 | 6,271 | $27K | |
| 2024incomplete | 3,348 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 30% | 2,075 | 1,992 | $40K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 24% | 2,303 | 2,206 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 406 | 393 | $11K |
| 90461 | 6.7% | 906 | 863 | $9K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 276 | 264 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 249 | 247 | $8K |
| 87070 | 5.1% | 689 | 661 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 6,883 | 5,944 | $4K |
| 90677 | 1.7% | 12 | 12 | $2K | |
| 90671 | 1.4% | 13 | 13 | $2K | |
| 90651 | 1.3% | 40 | 40 | $2K | |
| 36416 | 1.0% | 139 | 139 | $1K |
33 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 130 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 44 | $1K |
| 99188 | <1% | 75 | $1K | |
| 90686 | <1% | 190 | $567.84 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,190 | $518.70 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 31 | $437.00 |
| 90656 | <1% | 134 | $422.30 | |
| 99401 | <1% | 7,269 | $356.77 | |
| 92552 | <1% | 1,076 | $349.10 | |
| 90688 | <1% | 171 | $301.44 | |
| 90734 | <1% | 13 | $299.67 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 149 | $290.52 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 877 | $160.42 |
| 90633 | <1% | 45 | $63.54 | |
| 99403 | <1% | 505 | $47.00 | |
| 3008F | <1% | 5,474 | $30.00 | |
| 99421 | <1% | 20 | $13.20 | |
| 96160 | <1% | 409 | $4.76 | |
| 90660 | <1% | 36 | $0.07 | |
| 99402 | 0% | 1,290 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 674 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 173 | $0.00 |
| 99000 | 0% | 773 | $0.00 | |
| 96127 | 0% | 64 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 99441 | 0% | 23 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 161 | $0.00 |
| 99173 | 0% | 1,479 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 81 | $0.00 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 175 | $0.00 |
| 90672 | 0% | 96 | $0.00 | |
| 90670 | 0% | 27 | $0.00 | |
| 99080 | 0% | 22 | $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.