Physician
Premier Health Associates LLC
Premier Health Associates LLC was paid $511K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoPREMIER HEALTH ASSOCIATES LLC
NEWTON, NJ 07860
NEWTON, NJ 07860
33aNPI1043257991assigned 05/31/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$511K
24GClaims8,416
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in New Jersey
Rank by total paid#8 of 52
Median peer was paid$15K
This provider vs. median33×
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 | 624 | $31K | |
| 2019 | 714 | $39K | |
| 2020 | 855 | $47K | |
| 2021 | 1,247 | $92K | |
| 2022 | 1,669 | $100K | |
| 2023 | 1,680 | $111K | |
| 2024incomplete | 1,627 | $91K |
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 | 53% | 3,042 | 2,545 | $270K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 3,009 | 2,524 | $210K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.3% | 737 | 647 | $12K |
| 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 | 1.4% | 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) | <1% | 411 | 346 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 43 | 39 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 53 | 36 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 90 | 28 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 45 | 45 | $869.85 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 14 | 14 | $674.10 |
| 90688 | <1% | 29 | 29 | $535.98 | |
| 99072 | <1% | 371 | 272 | $269.25 |
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 officialMYCK, SUSAN (ADMINISTRATIVE ASSISTANT)