New Jersey Infectious Disease Associates, P.A.

New Jersey Infectious Disease Associates, P.A. was paid $31K by Medicaid between Dec 2019 and Oct 2024, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 36% of everything it billed.

33Billing provider infoNEW JERSEY INFECTIOUS DISEASE ASSOCIATES, P.A.
EDISON, NJ 08820

33aNPI1134315302assigned 09/20/2007

33bProvider typeInfectious Disease Physician

28Total paid$31K

24GClaims1,965

24DCodes billed4

24AFirst – last monthDec 2019 – Oct 2024

Compared with peers

Next to other Infectious Disease Physician providers in New Jersey

Rank by total paid#52 of 86

Median peer was paid$47K

This provider vs. median0.6×

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
2019	12	$489.56
2020	78	$926.97
2021	218	$2K
2022	557	$7K
2023	354	$7K
2024incomplete	746	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	36%	188	68	$11K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	31%	731	248	$9K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	30%	1,022	218	$9K
99223	Prolong inpt eval add15 m	2.6%	24	24	$794.46

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 officialVELMAHOS, VASILIOS (PRESIDENT AND CEO)