Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. JOSEPHS PHYSICIANS HEALTHCARE GROUP INC

NPI: 1033410907 · PATERSON, NJ 07503 · Cardiovascular Disease Physician · NPI assigned 11/09/2010

$2.15M
Total Medicaid Paid
64,314
Total Claims
54,752
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALWELL, MICHAEL (CFO/ VP PHYSICIAN ENTERPRISE)
NPI Enumeration Date11/09/2010

Related Entities

Other providers sharing the same authorized official: ALWELL, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 11,741 $308K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,789 10,489 $497K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,141 7,504 $471K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,903 9,295 $361K
99232 Subsequent hospital care, per day, moderate complexity 10,700 4,191 $269K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,282 1,219 $122K
93000 9,460 8,952 $91K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,243 2,164 $89K
99223 Prolong inpt eval add15 m 759 716 $55K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 531 526 $43K
93018 3,294 3,143 $42K
93458 191 176 $29K
93016 1,522 1,431 $18K
93297 1,805 1,677 $17K
99222 Initial hospital care, per day, moderate complexity 243 217 $11K
93295 678 640 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 106 91 $3K
93294 245 224 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 478 456 $3K
93923 63 62 $3K
99152 121 118 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 109 48 $2K
93970 81 68 $2K
93227 118 117 $2K
99243 12 12 $1K
99233 Prolong inpt eval add15 m 19 13 $850.70
85610 450 260 $807.27
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 45 31 $462.90
93320 13 13 $173.31
93922 14 14 $105.64
93298 19 18 $105.10
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $94.49
93325 14 14 $34.59
3078F 34 31 $2.06
3074F 67 64 $1.14
3079F 51 51 $1.08
G8754 Most recent diastolic blood pressure < 90 mmhg 341 338 $0.00
1036F 17 16 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 270 267 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 60 60 $0.00
G8598 Aspirin or another antiplatelet therapy used 14 14 $0.00