Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Jersey Irish Medical

Jersey Irish Medical was paid $25.87M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoJERSEY IRISH MEDICAL
BOUND BROOK, NJ 08805
33aNPI1144575739assigned 07/19/2012
28Total paid$25.87M
24GClaims289,184
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#3 of 414
Median peer was paid$28K
This provider vs. median917×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
20186,028$562K
201922,185$2.18M
202028,818$2.74M
202174,247$5.90M
202274,667$6.84M
202364,512$6.11M
2024incomplete18,727$1.53M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 76,331 68,832 $7.61M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20% 51,116 50,197 $5.21M
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 20% 48,556 45,396 $5.15M
S9083 Global fee urgent care centers 19% 47,231 41,953 $4.86M
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 8.6% 20,836 20,452 $2.24M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.1% 8,214 7,661 $282K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 1,665 1,623 $181K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,356 1,347 $139K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 5,334 2,530 $52K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 622 576 $51K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,378 3,211 $32K
99205 Prolong outpt/office vis <1% 277 271 $30K
15 more codes
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 382 $14K
99201 <1% 51 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 259 $3K
99000 <1% 9,689 $3K
81003 <1% 569 $428.38
36415 Collection of venous blood by venipuncture <1% 99 $223.68
81025 <1% 27 $70.13
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 12 $50.99
99072 <1% 10,798 $35.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,773 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 14 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 505 $0.00
99051 0% 28 $0.00
G8482 Influenza immunization administered or previously received 0% 32 $0.00
S9088 Services provided in an urgent care center (list in addition to code for service) 0% 30 $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 officialEHRLICH, HAROLD (PRESIDENT)