Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › RED BANK › HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC

HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC

NPI: 1154379626 · RED BANK, NJ 07701 · Pediatrics Physician · NPI assigned 05/05/2006

$11.60M
Total Medicaid Paid
217,597
Total Claims
160,025
Beneficiaries
98
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVARGA, DANIEL (DIRECTOR)
NPI Enumeration Date05/05/2006

Related Entities

Other providers sharing the same authorized official: VARGA, DANIEL

ProviderCityStateTotal Paid
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC RED BANK NJ $50.09M
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC RED BANK NJ $21.84M
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC RED BANK NJ $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32,865 $1.47M
2019 28,259 $1.49M
2020 33,549 $1.83M
2021 46,264 $2.55M
2022 58,616 $2.90M
2023 9,128 $657K
2024 8,916 $694K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,323 26,789 $2.19M
99232 Subsequent hospital care, per day, moderate complexity 49,338 19,567 $1.57M
90792 Psychiatric diagnostic evaluation with medical services 4,898 4,098 $1.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,636 16,521 $824K
99215 Prolong outpt/office vis 6,994 6,800 $704K
99222 Initial hospital care, per day, moderate complexity 9,465 8,402 $672K
76819 Fetal biophysical profile; without non-stress testing 15,030 12,895 $537K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14,626 13,500 $493K
99223 Prolong inpt eval add15 m 4,448 4,116 $451K
99233 Prolong inpt eval add15 m 6,759 2,908 $420K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,812 2,737 $369K
99239 Hospital discharge day management, more than 30 minutes 5,486 5,122 $310K
99231 Subsequent hospital care, per day, straightforward or low complexity 12,072 4,486 $230K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 906 281 $190K
99238 Hospital discharge day management, 30 minutes or less 3,526 3,362 $153K
99205 Prolong outpt/office vis 897 860 $145K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,835 1,563 $133K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,921 2,848 $132K
99245 614 613 $103K
94010 3,309 3,228 $88K
76813 1,700 1,659 $83K
99460 1,171 1,146 $83K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,834 1,440 $50K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,718 1,485 $45K
99479 Subsequent intensive care, per day, very low birth weight infant 439 180 $40K
99480 Subsequent intensive care, per day, low birth weight infant 381 129 $32K
99244 Office or other outpatient consultation, moderate to high complexity 236 235 $28K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 134 78 $28K
90791 Psychiatric diagnostic evaluation 264 223 $28K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,565 3,139 $24K
97803 734 722 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 229 225 $22K
76775 455 442 $21K
99242 277 274 $21K
90870 664 154 $19K
99236 Prolong inpt eval add15 m 144 115 $19K
99234 132 117 $18K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 448 340 $18K
76820 691 563 $16K
95810 Polysomnography; sleep staging with 4 or more additional parameters 166 161 $16K
97802 312 308 $15K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 471 425 $15K
76801 305 295 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 132 126 $12K
76830 Ultrasound, transvaginal 125 109 $12K
99283 Emergency department visit for the evaluation and management, moderate severity 491 307 $11K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 69 13 $11K
99241 226 224 $10K
99221 182 165 $10K
95819 184 182 $10K
99254 88 82 $10K
95782 79 72 $8K
99219 134 129 $7K
51741 434 418 $7K
99252 104 98 $6K
95012 522 502 $6K
51798 437 419 $5K
95816 85 82 $5K
99462 160 126 $4K
99220 56 51 $4K
99217 107 102 $4K
90853 Group psychotherapy (other than of a multiple-family group) 231 76 $4K
99284 Emergency department visit for the evaluation and management, high severity 83 59 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 59 59 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 253 253 $3K
99253 29 29 $3K
96450 16 12 $2K
76821 57 42 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 89 67 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 34 34 $2K
90832 Psychotherapy, 30 minutes with patient 38 24 $2K
99443 39 38 $1K
99235 12 12 $1K
64642 12 12 $1K
99225 38 25 $1K
64643 17 15 $1K
99358 Prolong nursin fac eval 15m 19 16 $821.34
59430 12 12 $814.00
95251 29 29 $765.35
90836 12 12 $743.21
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 12 12 $699.27
95873 46 43 $672.15
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $667.74
90460 Immunization administration through 18 years of age via any route, first or only component 28 27 $471.70
99251 12 12 $354.50
90472 Immunization administration, each additional vaccine (list separately) 12 12 $233.48
83036 Hemoglobin; glycosylated (A1C) 183 164 $199.45
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $182.53
93000 12 12 $181.49
82962 70 30 $89.36
90785 92 92 $51.91
90863 19 16 $50.62
99417 Prolong home eval add 15m 35 31 $23.00
36416 932 917 $19.07
82948 12 12 $7.57
81002 13 13 $0.00
90840 18 12 $0.00
96130 18 12 $0.00