Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NJ ACUTE CARE SPECIALISTS PROFESSIONAL CORPORATION

NPI: 1073805917 · EAST ORANGE, NJ 07018 · Pediatric Emergency Medicine (Emergency Medicine) Physician · NPI assigned 05/11/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ISTVAN, DAVID controls 20+ related entities in our dataset. Read more

$253K
Total Medicaid Paid
10,005
Total Claims
5,662
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialISTVAN, DAVID (PRESIDENT)
NPI Enumeration Date05/11/2011

Related Entities

Other providers sharing the same authorized official: ISTVAN, DAVID

ProviderCityStateTotal Paid
EMERGENCY PHYSICIAN ASSOCIATES OF SOUTH JERSEY P C VOORHEES NJ $30.80M
BUFFALO EMERGENCY ASSOCIATES LLP WILLIAMSVILLE NY $23.97M
CHILDRENS EMERGENCY SERVICES INC DAYTON OH $8.74M
OHIO EMERGENCY CARE SERVICES, INC DELAWARE OH $7.77M
EMERGENCY CARE SERVICES OF NEW JERSEY, PA WOODBURY NJ $7.34M
MIDDLESEX EMERGENCY PHYSICIANS, P.A. EDISON NJ $6.72M
EMERGENCY MEDICINE SERVICES OF MAINE, LLC ELLSWORTH ME $5.39M
EMERGENCY CARE SERVICES OF CONNECTICUT, P.C. MANCHESTER CT $3.42M
EMERGENCY PHYSICIAN ASSOCIATES OF MASSACHUSETTS PC WORCESTER MA $2.37M
INPATIENT CONSULTANTS OF DELAWARE, LLC WILMINGTON DE $1.51M
NEW YORK GENERAL MEDICAL SERVICES PC NEW YORK NY $1.04M
DELAWARE POST ACUTE MEDICAL SERVICES 1 WILMINGTON DE $911K
PENNSYLVANIA HM ASSOCIATES PC EAST STROUDSBURG PA $812K
HOSPITALIST PHYSICIANS OF NEW JERSEY PA EDISON NJ $748K
HILTON HEAD EMERGENCY PHYSICIANS, LLC HILTON HEAD ISLAND SC $349K
HOSPITAL MEDICINE SERVICES OF MAINE LLC ELLSWORTH ME $311K
INPATIENT CONSULTANTS OF PENNSYLVANIA PC NEWTOWN SQUARE PA $272K
NEW HAMPSHIRE EMERGENCY PHYSICIAN ASSOCIATES PC WOLFEBORO NH $191K
ATLANTIC PROFESSIONAL SERVICES OF RHODE ISLAND INCORPORATED WAKEFIELD RI $140K
NEW JERSEY POST ACUTE MEDICAL SERVICES 1 PA RED BANK NJ $83K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 597 $16K
2019 474 $13K
2020 12 $293.44
2021 1,234 $25K
2022 5,226 $126K
2023 2,265 $68K
2024 197 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 3,989 1,783 $68K
99233 Prolong inpt eval add15 m 2,456 1,216 $55K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 882 295 $54K
99223 Prolong inpt eval add15 m 1,023 923 $40K
99239 Hospital discharge day management, more than 30 minutes 697 633 $16K
99238 Hospital discharge day management, 30 minutes or less 560 466 $11K
99221 224 195 $6K
99222 Initial hospital care, per day, moderate complexity 88 73 $3K
99217 58 52 $1K
99244 Office or other outpatient consultation, moderate to high complexity 16 14 $464.64
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12 12 $10.00