South Jersey Musculoskeletal Institute, LLC

South Jersey Musculoskeletal Institute, LLC was paid $1.29M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 45% of everything it billed.

33Billing provider infoSOUTH JERSEY MUSCULOSKELETAL INSTITUTE, LLC
SEWELL, NJ 08080

33aNPI1013136456assigned 04/24/2007

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$1.29M

24GClaims3,993

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in New Jersey

Rank by total paid#29 of 106

Median peer was paid$268K

This provider vs. median4.8×

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	816	$366K
2019	666	$297K
2020	344	$92K
2021	512	$157K
2022	419	$82K
2023	826	$178K
2024incomplete	410	$114K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	45%	1,844	1,666	$581K
45380	Colonoscopy, flexible; with biopsy, single or multiple	29%	1,089	978	$373K
43499		19%	323	322	$250K
62323		3.2%	118	117	$41K
64493		1.4%	67	37	$18K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	<1%	16	12	$8K
64494		<1%	20	12	$7K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	14	12	$5K
43450		<1%	16	16	$4K
G8907	Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility	0%	469	393	$0.00
V2632	Posterior chamber intraocular lens	0%	17	13	$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 officialMCCARTHY, ELIZABETH (INTERIM ADMINISTRATOR)

Same official

Other billing entities under MCCARTHY, ELIZABETH

Full network →

Provider	Location	Paid
Sheltering Arms Children and Family, INC	New York, NY	$4.49M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.