Medical and Arthritis Doctors, INC.

Medical and Arthritis Doctors, INC. was paid $85K by Medicaid between Jan 2018 and Feb 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.

33Billing provider infoMEDICAL AND ARTHRITIS DOCTORS, INC.
PERTH AMBOY, NJ 08861

33aNPI1144375171assigned 01/23/2007

33bProvider typeRheumatology Physician

28Total paid$85K

24GClaims1,466

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other Rheumatology Physician providers in New Jersey

Rank by total paid#13 of 34

Median peer was paid$33K

This provider vs. median2.6×

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
2018	379	$22K
2019	347	$18K
2020	263	$14K
2021	290	$18K
2022	172	$12K
2023	15	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	96%	1,385	1,353	$81K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.2%	69	68	$3K
99205	Prolong outpt/office vis	1.2%	12	12	$1K

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 officialGOYAL, JANAK (PRESIDENT)