Physician
Shore Medical Specialists
Shore Medical Specialists was paid $369K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoSHORE MEDICAL SPECIALISTS
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
33aNPI1134217417assigned 10/11/2006
33bProvider typeInternal Medicine Physician
28Total paid$369K
24GClaims25,346
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#160 of 1,027
Median peer was paid$30K
This provider vs. median12×
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 | 5,285 | $81K | |
| 2019 | 7,512 | $95K | |
| 2020 | 6,636 | $68K | |
| 2021 | 1,421 | $38K | |
| 2022 | 1,509 | $33K | |
| 2023 | 1,430 | $32K | |
| 2024incomplete | 1,553 | $21K |
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 | 32% | 4,346 | 3,985 | $118K |
| 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 | 22% | 2,160 | 1,998 | $82K |
| 99307 | 21% | 8,221 | 8,044 | $77K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 3,738 | 1,673 | $39K |
| 99335 | 4.9% | 3,216 | 2,603 | $18K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.2% | 2,325 | 1,194 | $15K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 234 | 214 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 97 | 95 | $5K |
| 99306 | Prolong nursin fac eval 15m | 1.1% | 101 | 97 | $4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 187 | 184 | $2K |
| 99336 | <1% | 12 | 12 | $790.85 | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 78 | 38 | $686.24 |
12 more codes
| 99348 | <1% | 34 | $303.64 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 91 | $280.71 |
| 99490 | Ccm add 20min | <1% | 168 | $156.52 |
| 96127 | <1% | 16 | $38.28 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 61 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 27 | $0.00 |
| 1123F | 0% | 55 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 61 | $0.00 |
| 1036F | 0% | 40 | $0.00 | |
| 3075F | 0% | 26 | $0.00 | |
| 3079F | 0% | 26 | $0.00 | |
| 3074F | 0% | 26 | $0.00 |
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 officialPATEL, AKSHAY (OWNER/PARTNER)