Holy Name Primary Care and Specialty Associates, PC
Holy Name Primary Care and Specialty Associates, PC was paid $512K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 38% of everything it billed.
TEANECK, NJ 07666
Next to other Internal Medicine Physician providers in New Jersey
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 718 | $40K | |
| 2019 | 795 | $32K | |
| 2020 | 813 | $38K | |
| 2021 | 1,461 | $65K | |
| 2022 | 3,050 | $131K | |
| 2023 | 2,300 | $55K | |
| 2024incomplete | 3,663 | $152K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | 38% | 977 | 771 | $195K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 4,733 | 3,897 | $132K |
| 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 | 23% | 3,638 | 2,516 | $118K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.1% | 858 | 302 | $21K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.5% | 940 | 388 | $18K |
| 99442 | 1.7% | 275 | 241 | $9K | |
| 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% | 148 | 127 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 293 | 291 | $3K |
| 73620 | <1% | 506 | 315 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 83 | 78 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 73 | 60 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 31 | 31 | $2K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Excelcare Medical Associates, PA | Teaneck, NJ | $9.97M |
| Peace Health Partners, PC | Teaneck, NJ | $1.24M |
| Breast Imaging Partners, PC | Teaneck, NJ | $661K |
| Holy Name Pulmonary Associates, PC | Teaneck, NJ | $389K |
| House Physician Partners, PC | Teaneck, NJ | $274K |
| MS Comprehensive Care Center | Teaneck, NJ | $190K |
| Holy Name Cardiology Associates, PC | Teaneck, NJ | $120K |
| Holy Name Health Physicians | Teaneck, NJ | $112K |
| Radiation Oncology Partners PC | Teaneck, NJ | $35K |
| Holy Name Hospital Ekg Interpretation Group | Teaneck, NJ | $26K |
| Holy Name Anesthesia Partners | Teaneck, NJ | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.