Mistry, Tusharkumar

Mistry, Tusharkumar was paid $101K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoMISTRY, TUSHARKUMAR
ENGLISHTOWN, NJ 07726

33aNPI1053302976assigned 10/31/2005

33bProvider typeGeneral Practice Physician

28Total paid$101K

24GClaims2,617

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in New Jersey

Rank by total paid#10 of 35

Median peer was paid$17K

This provider vs. median6.0×

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	356	$16K
2019	344	$14K
2020	248	$10K
2021	457	$18K
2022	573	$20K
2023	367	$13K
2024incomplete	272	$10K

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	95%	2,454	2,158	$96K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.6%	27	25	$2K
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	<1%	15	13	$883.30
99238	Hospital discharge day management, 30 minutes or less	<1%	24	24	$833.86
99223	Prolong inpt eval add15 m	<1%	12	12	$716.64
90686		<1%	42	42	$599.75
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	43	43	$459.21

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.