Medicaid Provider Spending

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

PREMIER HEALTH ASSOCIATES LLC

NPI: 1043257991 · NEWTON, NJ 07860 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 05/31/2006

$511K
Total Medicaid Paid
8,416
Total Claims
7,026
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMYCK, SUSAN (ADMINISTRATIVE ASSISTANT)
NPI Enumeration Date05/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 624 $31K
2019 714 $39K
2020 855 $47K
2021 1,247 $92K
2022 1,669 $100K
2023 1,680 $111K
2024 1,627 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,042 2,545 $270K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,009 2,524 $210K
99308 Subsequent nursing facility care, per day, straightforward 737 647 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 58 52 $7K
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) 411 346 $4K
99223 Prolong inpt eval add15 m 43 39 $2K
99233 Prolong inpt eval add15 m 53 36 $2K
99232 Subsequent hospital care, per day, moderate complexity 90 28 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 45 45 $869.85
99309 Subsequent nursing facility care, per day, low to moderate complexity 14 14 $674.10
90688 29 29 $535.98
99072 371 272 $269.25
96127 25 25 $154.98
99051 477 412 $130.00
99307 12 12 $23.48