Physician
Yelena Birger DO PC
Yelena Birger DO PC was paid $174K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoYELENA BIRGER DO PC
MANALAPAN, NJ 07726
MANALAPAN, NJ 07726
33aNPI1023569027assigned 10/14/2016
33bProvider typeInternal Medicine Physician
28Total paid$174K
24GClaims8,921
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#257 of 1,027
Median peer was paid$30K
This provider vs. median5.8×
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 | 448 | $5K | |
| 2019 | 656 | $6K | |
| 2020 | 1,300 | $20K | |
| 2021 | 1,767 | $36K | |
| 2022 | 2,046 | $36K | |
| 2023 | 1,815 | $40K | |
| 2024incomplete | 889 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 4,466 | 4,209 | $115K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 1,769 | 1,546 | $53K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.6% | 1,258 | 1,200 | $5K |
| 90756 | <1% | 123 | 120 | $595.61 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 255 | 237 | $285.16 |
| 90688 | <1% | 25 | 17 | $156.61 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 15 | $152.95 |
| G0008 | Administration of influenza virus vaccine | <1% | 131 | 120 | $18.67 |
| 99442 | <1% | 21 | 16 | $9.86 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 83 | 83 | $6.33 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 128 | 127 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 74 | 74 | $0.00 |
7 more codes
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 12 | $0.00 |
| 1036F | 0% | 187 | $0.00 | |
| 1123F | 0% | 27 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 176 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 92 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 25 | $0.00 |
| 1101F | 0% | 54 | $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 officialBIRGER, YELENA (OWNER)