Somerset Health Center PC

Somerset Health Center PC was paid $162K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 48% of everything it billed.

33Billing provider infoSOMERSET HEALTH CENTER PC
HILLSBOROUGH, NJ 08844

33aNPI1144475351assigned 12/02/2008

33bProvider typeInternal Medicine Physician

28Total paid$162K

24GClaims4,530

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#271 of 1,027

Median peer was paid$30K

This provider vs. median5.5×

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	796	$36K
2019	1,212	$47K
2020	495	$16K
2021	218	$5K
2022	260	$6K
2023	935	$26K
2024incomplete	614	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	48%	2,374	1,547	$78K
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	31%	952	885	$51K
99402		15%	760	687	$24K
99308	Subsequent nursing facility care, per day, straightforward	4.9%	362	80	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	47	43	$1K
90688		<1%	35	33	$260.40

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 officialRAMASWAMY, KUMAR (MD)