Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › HACKENSACK › VAULT MEDICAL SERVICES OF NEW JERSEY PC

VAULT MEDICAL SERVICES OF NEW JERSEY PC

NPI: 1073102778 · HACKENSACK, NJ 07601 · Internal Medicine Physician · NPI assigned 01/16/2021

$14K
Total Medicaid Paid
856
Total Claims
843
Beneficiaries
3
Codes Billed
2020-12
First Month
2021-05
Last Month

Provider Details

Authorized OfficialPASTUSZAK, ALEXANDER (CHIEF MEDICAL OFFICER/OWNER)
NPI Enumeration Date01/16/2021

Related Entities

Other providers sharing the same authorized official: PASTUSZAK, ALEXANDER

ProviderCityStateTotal Paid
VAULT MEDICAL GROUP PA NEW YORK NY $2.18M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 68 $146.70
2021 788 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 360 360 $7K
0012A 289 289 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 207 194 $332.64