Physician
ST. Josephs Physicians Healthcare Group INC
ST. Josephs Physicians Healthcare Group INC was paid $2.15M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoST. JOSEPHS PHYSICIANS HEALTHCARE GROUP INC
PATERSON, NJ 07503
PATERSON, NJ 07503
33aNPI1033410907assigned 11/09/2010
33bProvider typeCardiovascular Disease Physician
28Total paid$2.15M
24GClaims64,314
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in New Jersey
Rank by total paid#7 of 204
Median peer was paid$12K
This provider vs. median173×
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 | 10,748 | $397K | |
| 2019 | 8,004 | $286K | |
| 2020 | 7,650 | $290K | |
| 2021 | 6,219 | $227K | |
| 2022 | 9,125 | $296K | |
| 2023 | 10,827 | $344K | |
| 2024incomplete | 11,741 | $308K |
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 | 23% | 10,789 | 10,489 | $497K |
| 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 | 22% | 8,141 | 7,504 | $471K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 17% | 9,903 | 9,295 | $361K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 10,700 | 4,191 | $269K |
| 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 | 5.7% | 1,282 | 1,219 | $122K |
| 93000 | 4.2% | 9,460 | 8,952 | $91K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 4.2% | 2,243 | 2,164 | $89K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 759 | 716 | $55K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 531 | 526 | $43K |
| 93018 | 2.0% | 3,294 | 3,143 | $42K | |
| 93458 | 1.3% | 191 | 176 | $29K | |
| 93016 | <1% | 1,522 | 1,431 | $18K |
28 more codes
| 93297 | <1% | 1,805 | $17K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 243 | $11K |
| 93295 | <1% | 678 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 106 | $3K |
| 93294 | <1% | 245 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 478 | $3K |
| 93923 | <1% | 63 | $3K | |
| 99152 | <1% | 121 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 109 | $2K |
| 93970 | <1% | 81 | $2K | |
| 93227 | <1% | 118 | $2K | |
| 99243 | <1% | 12 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 19 | $850.70 |
| 85610 | <1% | 450 | $807.27 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 45 | $462.90 |
| 93320 | <1% | 13 | $173.31 | |
| 93922 | <1% | 14 | $105.64 | |
| 93298 | <1% | 19 | $105.10 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $94.49 |
| 93325 | <1% | 14 | $34.59 | |
| 3078F | <1% | 34 | $2.06 | |
| 3074F | <1% | 67 | $1.14 | |
| 3079F | <1% | 51 | $1.08 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 341 | $0.00 |
| 1036F | 0% | 17 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 270 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 60 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 14 | $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 officialALWELL, MICHAEL (CFO/ VP PHYSICIAN ENTERPRISE)
| Provider | Location | Paid |
|---|---|---|
| ST. Joseph's Healthcare, INC. | Paterson, NJ | $31.77M |
| ST. Joseph's Emergency Physicians INC | Paterson, NJ | $24.13M |
| ST Josephs Medical Group PC | Paterson, NJ | $10.11M |
| Radiation Oncology Group at SBMC | West Orange, NJ | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.