Physician
Ear Nose Throat and Facial Plastic Surgery Associates PC
Ear Nose Throat and Facial Plastic Surgery Associates PC was paid $2K by Medicaid between Jan 2021 and Aug 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoEAR NOSE THROAT AND FACIAL PLASTIC SURGERY ASSOCIATES PC
BRICK, NJ 08724
BRICK, NJ 08724
33aNPI1033167671assigned 05/05/2006
33bProvider typeOtolaryngology Physician
28Total paid$2K
24GClaims330
24DCodes billed2
24AFirst – last monthJan 2021 – Aug 2024
Compared with peers
Next to other Otolaryngology Physician providers in New Jersey
Rank by total paid#38 of 42
Median peer was paid$43K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 56 | $323.22 | |
| 2022 | 34 | $47.00 | |
| 2023 | 25 | $0.00 | |
| 2024incomplete | 215 | $1K |
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 | 87% | 219 | 190 | $2K |
| 69210 | 13% | 111 | 98 | $232.05 |
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 officialCLARKE, JAMES (EXECUTIVE VICE PRESIDENT, PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Meridian Medical Group - Specialty Care, PC | Red Bank, NJ | $8.24M |
| Hackensack Meridian Urgent Care, PC | Freehold, NJ | $3.58M |
| Above and Beyond Community Services | Naugatuck, CT | $1.83M |
| James R. Clarke, P.T.,P.A. | Rockville, MD | $496K |
| Meridian Medical Group-Retail Clinic PC | Neptune, NJ | $398K |
| Meridian Pediatric Surgical Associates, P.C. | Eatontown, NJ | $44K |
| Total Patient Care LLC | Brick, NJ | $25K |
| Meridian Trauma Associates, P.C. | Neptune, NJ | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.