Digestive Disease Consultants of North Jersey, PC

Digestive Disease Consultants of North Jersey, PC was paid $10K by Medicaid between Sep 2018 and Oct 2022, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoDIGESTIVE DISEASE CONSULTANTS OF NORTH JERSEY, PC
MINE HILL, NJ 07803

33aNPI1073804456assigned 04/20/2011

33bProvider typeGastroenterology Physician

28Total paid$10K

24GClaims290

24DCodes billed3

24AFirst – last monthSep 2018 – Oct 2022

Compared with peers

Next to other Gastroenterology Physician providers in New Jersey

Rank by total paid#90 of 150

Median peer was paid$27K

This provider vs. median0.4×

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	12	$1K
2019	66	$3K
2020	64	$2K
2021	86	$3K
2022	62	$2K

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	80%	265	261	$8K
99244	Office or other outpatient consultation, moderate to high complexity	13%	12	12	$1K
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	7.3%	13	13	$762.90

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 officialSHARMA, TARUN (DIRECTOR)