Physician
Navesink Medical Associates LLC
Navesink Medical Associates LLC was paid $268K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoNAVESINK MEDICAL ASSOCIATES LLC
MIDDLETOWN, NJ 07748
MIDDLETOWN, NJ 07748
33aNPI1003051038assigned 12/04/2008
33bProvider typeInternal Medicine Physician
28Total paid$268K
24GClaims9,974
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#192 of 1,027
Median peer was paid$30K
This provider vs. median9.0×
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 | 1,072 | $40K | |
| 2019 | 1,415 | $46K | |
| 2020 | 1,446 | $35K | |
| 2021 | 1,285 | $32K | |
| 2022 | 1,831 | $48K | |
| 2023 | 1,697 | $38K | |
| 2024incomplete | 1,228 | $29K |
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 | 64% | 4,650 | 3,707 | $171K |
| 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 | 30% | 1,427 | 1,283 | $80K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 45 | 45 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 302 | 288 | $4K |
| 99490 | Ccm add 20min | <1% | 1,381 | 1,335 | $2K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 852 | 828 | $2K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 843 | 821 | $2K |
| 93000 | <1% | 231 | 221 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 48 | 44 | $985.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 40 | 40 | $531.43 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | 18 | $448.00 |
| 90686 | <1% | 26 | 26 | $407.83 |
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 officialTUBOKU-METZGER, FOLARIN (PHYSICIAN)