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

TJH Medical Services, P.C.

TJH Medical Services, P.C. was paid $30.06M by Medicaid between Jan 2018 and Dec 2024, across 159 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.

33Billing provider infoTJH MEDICAL SERVICES, P.C.
JAMAICA, NY 11418
33aNPI1184670465assigned 05/26/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$30.06M
24GClaims615,377
24DCodes billed159
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#3 of 762
Median peer was paid$22K
This provider vs. median1,388×

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$200K$400K$600K2018201920202021202220232024
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
201871,750$2.79M
2019100,842$3.70M
202085,562$4.10M
202193,565$5.17M
202295,375$5.47M
202398,059$5.31M
2024incomplete70,224$3.52M
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 19% 79,437 71,298 $5.72M
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 9.8% 27,812 26,565 $2.95M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.3% 31,784 13,147 $2.20M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4.3% 23,024 19,457 $1.30M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4.2% 16,104 15,892 $1.25M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.5% 9,944 9,892 $1.05M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3.5% 129,695 107,205 $1.05M
99222 Initial hospital care, per day, moderate complexity 3.3% 8,718 7,891 $993K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.9% 20,573 18,297 $872K
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 2.6% 5,194 5,163 $789K
76818 2.6% 12,892 5,816 $770K
99221 2.4% 8,321 7,717 $723K
147 more codes
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.4% 6,302 $713K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2.3% 6,573 $702K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2.3% 6,507 $691K
76820 2.1% 20,873 $632K
36478 1.9% 556 $583K
99238 Hospital discharge day management, 30 minutes or less 1.6% 6,897 $482K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.3% 2,789 $404K
96112 1.3% 2,983 $384K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.2% 8,544 $374K
76830 Ultrasound, transvaginal 1.1% 3,241 $338K
99215 Doctor's office visit, returning patient (complex) 1.1% 1,998 $317K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.0% 4,306 $303K
76825 <1% 1,049 $290K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 2,758 $267K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 6,384 $260K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 3,123 $259K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 273 $235K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,025 $223K
76813 <1% 2,857 $211K
76801 <1% 3,287 $196K
99223 Prolong inpt eval add15 m <1% 894 $151K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,397 $139K
99386 <1% 940 $126K
93970 <1% 3,797 $115K
99239 Hospital discharge day management, more than 30 minutes <1% 1,141 $115K
93000 <1% 6,923 $112K
99283 Emergency room visit (moderate) <1% 1,503 $104K
92134 <1% 3,283 $101K
95885 <1% 806 $88K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 472 $86K
99441 <1% 1,560 $78K
76827 <1% 1,054 $78K
76819 Fetal biophysical profile; without non-stress testing <1% 1,942 $72K
90651 <1% 255 $69K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,137 $66K
92202 <1% 4,378 $51K
67028 Intravitreal injection of a pharmacologic agent <1% 490 $48K
92015 Determination of refractive state <1% 3,179 $48K
95911 <1% 202 $44K
99442 <1% 706 $40K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 315 $38K
99205 Prolong outpt/office vis <1% 186 $37K
93971 <1% 1,640 $34K
93325 <1% 1,664 $33K
95816 <1% 638 $30K
67228 <1% 96 $29K
J9035 Injection, bevacizumab, 10 mg <1% 386 $24K
92083 <1% 451 $24K
92133 <1% 722 $23K
36415 Collection of venous blood by venipuncture <1% 17,042 $23K
99385 <1% 246 $22K
92226 <1% 753 $21K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 485 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,537 $21K
93016 <1% 1,024 $20K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 160 $18K
99460 <1% 176 $17K
93018 <1% 1,036 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 247 $14K
93307 <1% 103 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 335 $13K
99244 Office or other outpatient consultation, moderate to high complexity <1% 88 $13K
81025 <1% 1,840 $13K
95806 <1% 332 $13K
99219 <1% 132 $13K
92060 <1% 220 $12K
94060 <1% 1,145 $12K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 48 $12K
96111 <1% 89 $12K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 88 $11K
94729 <1% 1,220 $10K
94726 <1% 919 $10K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 484 $10K
90686 <1% 798 $9K
31231 <1% 48 $9K
93925 <1% 292 $9K
93923 <1% 379 $7K
99201 <1% 166 $6K
73562 <1% 151 $6K
90682 <1% 96 $6K
99218 <1% 86 $6K
95819 <1% 111 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 92 $5K
92020 <1% 229 $5K
99000 <1% 9,743 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 68 $5K
57454 <1% 29 $5K
99443 <1% 41 $4K
76376 <1% 434 $4K
99462 <1% 97 $4K
81002 <1% 1,845 $4K
92588 <1% 122 $4K
92557 <1% 111 $4K
94727 <1% 300 $4K
76857 <1% 68 $3K
92136 <1% 87 $3K
81003 <1% 1,875 $3K
93880 <1% 76 $3K
92550 <1% 139 $3K
73140 <1% 71 $3K
92250 <1% 76 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 80 $2K
99217 <1% 70 $2K
90656 <1% 132 $2K
90673 <1% 31 $2K
95886 <1% 13 $2K
20550 <1% 30 $2K
95909 <1% 12 $2K
87210 <1% 331 $2K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 34 $2K
76821 <1% 53 $2K
31575 <1% 14 $1K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 32 $1K
99284 Emergency room visit (serious) <1% 12 $1K
92225 <1% 49 $1K
59025 Fetal non-stress test <1% 41 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 42 $742.91
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 31 $683.88
93320 <1% 45 $668.11
73110 <1% 15 $574.16
73130 <1% 15 $495.06
95117 <1% 34 $411.50
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 12 $411.37
83037 <1% 76 $390.98
92025 <1% 12 $388.51
51741 <1% 24 $333.30
99401 <1% 13 $327.45
86580 <1% 21 $230.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 95 $171.93
51798 <1% 13 $156.87
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 13 $137.59
83036 Hemoglobin; glycosylated (A1C) <1% 12 $94.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 45 $88.86
1159F <1% 8,859 $70.00
90662 <1% 12 $66.78
1160F <1% 5,626 $35.00
1126F <1% 251 $25.00
1036F 0% 21,671 $0.00
G8732 No documentation of pain assessment, reason not given 0% 20,257 $0.00
1220F 0% 44 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 28 $0.00
4004F 0% 757 $0.00
0502F 0% 329 $0.00
S9470 Nutritional counseling, dietitian visit 0% 317 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 326 $0.00
99072 0% 44 $0.00
90672 0% 45 $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 officialDIMARIA, ANTHONY (PRESIDENT)