Physician
Goldson Medical Associates, LLC
Goldson Medical Associates, LLC was paid $396K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoGOLDSON MEDICAL ASSOCIATES, LLC
SOUTH ORANGE, NJ 07079
SOUTH ORANGE, NJ 07079
33aNPI1184668485assigned 06/16/2006
33bProvider typeInternal Medicine Physician
28Total paid$396K
24GClaims10,199
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#150 of 1,027
Median peer was paid$30K
This provider vs. median13×
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 | 1,112 | $46K | |
| 2019 | 1,168 | $47K | |
| 2020 | 1,296 | $60K | |
| 2021 | 1,149 | $54K | |
| 2022 | 1,474 | $61K | |
| 2023 | 1,986 | $67K | |
| 2024incomplete | 2,014 | $61K |
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 | 57% | 3,988 | 3,403 | $224K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 3,377 | 2,817 | $152K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 65 | 63 | $5K |
| 93000 | 1.1% | 525 | 503 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 48 | 45 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 146 | 144 | $2K |
| 96127 | <1% | 697 | 663 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 103 | 93 | $1K |
| 99490 | Ccm add 20min | <1% | 701 | 693 | $389.33 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | 14 | $362.72 |
| 90674 | <1% | 15 | 14 | $314.62 | |
| 90756 | <1% | 16 | 14 | $254.20 |
11 more codes
| 99051 | <1% | 29 | $191.62 | |
| 90686 | <1% | 12 | $156.21 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 79 | $91.87 |
| 81003 | <1% | 128 | $79.20 | |
| 81001 | <1% | 48 | $46.05 | |
| G8482 | Influenza immunization administered or previously received | 0% | 84 | $0.00 |
| 1159F | 0% | 12 | $0.00 | |
| 99497 | 0% | 12 | $0.00 | |
| 1170F | 0% | 12 | $0.00 | |
| 4037F | 0% | 75 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $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 officialGOLDSON-PROPHETE, DEBRA (OWNER)