Physician
Hackensack Meridian Health Medical Group - Complex Care PC
Hackensack Meridian Health Medical Group - Complex Care PC was paid $11.60M by Medicaid between Jan 2018 and Nov 2024, across 98 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoHACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC
RED BANK, NJ 07701
RED BANK, NJ 07701
33aNPI1154379626assigned 05/05/2006
33bProvider typePediatrics Physician
28Total paid$11.60M
24GClaims217,597
24DCodes billed98
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#11 of 549
Median peer was paid$154K
This provider vs. median75×
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 | 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 | |
| 2024incomplete | 8,916 | $694K |
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 | 19% | 30,323 | 26,789 | $2.19M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 49,338 | 19,567 | $1.57M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 8.9% | 4,898 | 4,098 | $1.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 18,636 | 16,521 | $824K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.1% | 6,994 | 6,800 | $704K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.8% | 9,465 | 8,402 | $672K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.6% | 15,030 | 12,895 | $537K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.3% | 14,626 | 13,500 | $493K |
| 99223 | Prolong inpt eval add15 m | 3.9% | 4,448 | 4,116 | $451K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.6% | 6,759 | 2,908 | $420K |
| 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 | 3.2% | 2,812 | 2,737 | $369K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.7% | 5,486 | 5,122 | $310K |
86 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.0% | 12,072 | $230K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 1.6% | 906 | $190K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 3,526 | $153K |
| 99205 | Prolong outpt/office vis | 1.2% | 897 | $145K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.1% | 1,835 | $133K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.1% | 2,921 | $132K |
| 99245 | <1% | 614 | $103K | |
| 94010 | <1% | 3,309 | $88K | |
| 76813 | <1% | 1,700 | $83K | |
| 99460 | <1% | 1,171 | $83K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,834 | $50K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,718 | $45K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 439 | $40K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 381 | $32K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 236 | $28K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 134 | $28K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 264 | $28K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,565 | $24K |
| 97803 | <1% | 734 | $23K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 229 | $22K |
| 76775 | <1% | 455 | $21K | |
| 99242 | <1% | 277 | $21K | |
| 90870 | <1% | 664 | $19K | |
| 99236 | Prolong inpt eval add15 m | <1% | 144 | $19K |
| 99234 | <1% | 132 | $18K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 448 | $18K |
| 76820 | <1% | 691 | $16K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 166 | $16K |
| 97802 | <1% | 312 | $15K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 471 | $15K |
| 76801 | <1% | 305 | $12K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 132 | $12K |
| 76830 | Ultrasound, transvaginal | <1% | 125 | $12K |
| 99283 | Emergency room visit (moderate) | <1% | 491 | $11K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 69 | $11K |
| 99241 | <1% | 226 | $10K | |
| 99221 | <1% | 182 | $10K | |
| 95819 | <1% | 184 | $10K | |
| 99254 | <1% | 88 | $10K | |
| 95782 | <1% | 79 | $8K | |
| 99219 | <1% | 134 | $7K | |
| 51741 | <1% | 434 | $7K | |
| 99252 | <1% | 104 | $6K | |
| 95012 | <1% | 522 | $6K | |
| 51798 | <1% | 437 | $5K | |
| 95816 | <1% | 85 | $5K | |
| 99462 | <1% | 160 | $4K | |
| 99220 | <1% | 56 | $4K | |
| 99217 | <1% | 107 | $4K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 231 | $4K |
| 99284 | Emergency room visit (serious) | <1% | 83 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 59 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 253 | $3K |
| 99253 | <1% | 29 | $3K | |
| 96450 | <1% | 16 | $2K | |
| 76821 | <1% | 57 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 89 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 34 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 38 | $2K |
| 99443 | <1% | 39 | $1K | |
| 99235 | <1% | 12 | $1K | |
| 64642 | <1% | 12 | $1K | |
| 99225 | <1% | 38 | $1K | |
| 64643 | <1% | 17 | $1K | |
| 99358 | Prolong nursin fac eval 15m | <1% | 19 | $821.34 |
| 59430 | <1% | 12 | $814.00 | |
| 95251 | <1% | 29 | $765.35 | |
| 90836 | <1% | 12 | $743.21 | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 12 | $699.27 |
| 95873 | <1% | 46 | $672.15 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $667.74 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 28 | $471.70 |
| 99251 | <1% | 12 | $354.50 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $233.48 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 183 | $199.45 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $182.53 |
| 93000 | <1% | 12 | $181.49 | |
| 82962 | <1% | 70 | $89.36 | |
| 90785 | <1% | 92 | $51.91 | |
| 90863 | <1% | 19 | $50.62 | |
| 99417 | Prolong home eval add 15m | <1% | 35 | $23.00 |
| 36416 | <1% | 932 | $19.07 | |
| 82948 | <1% | 12 | $7.57 | |
| 81002 | 0% | 13 | $0.00 | |
| 90840 | 0% | 18 | $0.00 | |
| 96130 | 0% | 18 | $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 officialVARGA, DANIEL (DIRECTOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.