DR Mathias Zemel, LLC
DR Mathias Zemel, LLC was paid $3.95M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 26% of everything it billed.
33Billing provider infoDR MATHIAS ZEMEL, LLC
PATERSON, NJ 07514
PATERSON, NJ 07514
33aNPI1013183961assigned 05/01/2008
33bProvider typeSpecialist
28Total paid$3.95M
24GClaims51,650
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#14 of 378
Median peer was paid$63K
This provider vs. median63×
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 | 8,359 | $696K | |
| 2019 | 8,901 | $719K | |
| 2020 | 6,530 | $458K | |
| 2021 | 7,629 | $547K | |
| 2022 | 6,848 | $530K | |
| 2023 | 7,292 | $549K | |
| 2024incomplete | 6,091 | $453K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 26% | 11,205 | 11,025 | $1.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 13,127 | 12,523 | $746K |
| 96920 | 15% | 4,510 | 1,790 | $608K | |
| 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 | 9.8% | 4,631 | 4,465 | $386K |
| 17110 | 7.8% | 3,245 | 2,837 | $308K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.2% | 2,383 | 2,293 | $285K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.6% | 5,649 | 5,481 | $222K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.5% | 2,078 | 2,054 | $137K |
| 11900 | 3.0% | 2,805 | 2,687 | $119K | |
| 11102 | <1% | 543 | 528 | $34K | |
| 96910 | <1% | 355 | 149 | $34K | |
| 99201 | <1% | 460 | 460 | $21K |
5 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 officialZEMEL, MATHIAS (PRESIDENT)