Behavioral
Epilepsy & Neurophysiology Medical Consultants PA
Epilepsy & Neurophysiology Medical Consultants PA was paid $9.94M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 95720, — 36% of everything it billed.
33Billing provider infoEPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
33aNPI1013998830assigned 11/09/2005
33bProvider typeClinical Social Worker
28Total paid$9.94M
24GClaims57,805
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Social Worker providers in New Jersey
Rank by total paid#2 of 103
Median peer was paid$209K
This provider vs. median48×
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 | 7,989 | $1.10M | |
| 2019 | 6,560 | $899K | |
| 2020 | 3,510 | $504K | |
| 2021 | 8,882 | $1.47M | |
| 2022 | 10,436 | $1.64M | |
| 2023 | 11,683 | $2.37M | |
| 2024incomplete | 8,745 | $1.96M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95720 | 36% | 21,731 | 8,543 | $3.57M | |
| 95715 | 21% | 2,263 | 751 | $2.10M | |
| 95951 | 13% | 5,507 | 1,970 | $1.33M | |
| 95816 | 12% | 3,896 | 3,759 | $1.21M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 6,095 | 5,852 | $461K |
| 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 | 3.8% | 3,529 | 3,461 | $376K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 5,225 | 4,920 | $230K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 3,988 | 1,713 | $189K |
| 95700 | 1.7% | 673 | 626 | $170K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 884 | 813 | $75K |
| 95812 | <1% | 921 | 904 | $53K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,369 | 642 | $33K |
13 more codes
| 99205 | Prolong outpt/office vis | <1% | 151 | $30K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 190 | $28K |
| 95718 | <1% | 294 | $25K | |
| 96118 | <1% | 54 | $17K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 592 | $13K |
| 95819 | <1% | 46 | $12K | |
| 99441 | <1% | 188 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 52 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $2K |
| 96137 | <1% | 12 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 87 | $382.68 |
| 96136 | <1% | 12 | $231.44 |
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 officialLANCMAN, MARCELO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Epilepsy & Neurophysiology Medical Consulting PC | White Plains, NY | $391K |
| Epilepsy and Neurophysiology of Virginia PC | Arlington, VA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.