Behavioral
Gold Standard Medical Group PC.
Gold Standard Medical Group PC. was paid $5.36M by Medicaid between Feb 2018 and Dec 2024, across 28 billing codes. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 29% of everything it billed.
33Billing provider infoGOLD STANDARD MEDICAL GROUP PC.
CLIFTON, NJ 07013
CLIFTON, NJ 07013
33aNPI1043722853assigned 11/02/2017
33bProvider typeAddiction (Substance Use Disorder) Psychologist
28Total paid$5.36M
24GClaims100,737
24DCodes billed28
24AFirst – last monthFeb 2018 – Dec 2024
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 | 241 | $8K | |
| 2019 | 1,478 | $55K | |
| 2020 | 2,259 | $86K | |
| 2021 | 14,469 | $351K | |
| 2022 | 21,121 | $525K | |
| 2023 | 29,701 | $1.92M | |
| 2024incomplete | 31,468 | $2.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | 29% | 3,636 | 3,338 | $1.55M |
| 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 | 19% | 17,454 | 14,194 | $1.02M |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 14% | 11,800 | 9,454 | $730K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.0% | 6,361 | 2,643 | $429K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.4% | 10,327 | 3,201 | $398K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.3% | 6,660 | 2,417 | $232K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.2% | 6,062 | 1,597 | $225K |
| 99223 | Prolong inpt eval add15 m | 4.0% | 3,123 | 2,892 | $215K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.3% | 8,253 | 5,239 | $178K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 4,108 | 3,529 | $119K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 1,928 | 1,756 | $74K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 2,120 | 2,078 | $46K |
16 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 333 | $30K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 229 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,504 | $29K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,625 | $25K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 563 | $18K |
| 99439 | <1% | 3,765 | $7K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 113 | $5K |
| 99490 | Ccm add 20min | <1% | 3,817 | $4K |
| 99497 | <1% | 679 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 57 | $2K |
| 99305 | <1% | 52 | $705.99 | |
| 99424 | <1% | 453 | $252.78 | |
| 99425 | <1% | 234 | $115.80 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 42 | $85.16 |
| 99000 | <1% | 13 | $1.50 | |
| 99072 | 0% | 1,426 | $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 officialIJAZ, MUHAMMAD (OWNER)