Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

METROPOLITAN NEW JERSEY, LLC

NPI: 1184900102 · HACKENSACK, NJ 07601 · Ambulatory Surgical Clinic/Center · NPI assigned 10/24/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BAILEY, JONATHAN controls 20+ related entities in our dataset. Read more

$2.94M
Total Medicaid Paid
4,409
Total Claims
3,987
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBAILEY, JONATHAN (OFFICER/AUTHORIZED OFFICIAL)
NPI Enumeration Date10/24/2011

Related Entities

Other providers sharing the same authorized official: BAILEY, JONATHAN

ProviderCityStateTotal Paid
WISCONSIN LASER AND SURGERY CENTER LLC MILWAUKEE WI $2.88M
SHORE OUTPATIENT SURGICENTER LLC LAKEWOOD NJ $2.50M
SOUTHWESTERN AMBULATORY SURGERY CENTER, LLC PITTSBURGH PA $1.65M
ARC WORCESTER CENTER, L.P. WORCESTER MA $1.18M
NORTH HAVEN SURGERY CENTER LLC NORTH HAVEN CT $863K
GRANT SURGICENTER LLC PHILADELPHIA PA $612K
SURGICAL SPECIALISTS AT PRINCETON LLC PRINCETON NJ $594K
CESC, LLC ELLSWORTH ME $535K
RSC ILLINOIS LLC MOLINE IL $408K
COASTAL ENDO, LLC BARNEGAT NJ $407K
CENTRAL MAINE EYE SURGERY CENTER LLC LEWISTON ME $345K
ENDOSCOPY CENTER OF HACKENSACK, LLC HACKENSACK NJ $262K
HERSHEY OUTPATIENT SURGERY CENTER LP HERSHEY PA $186K
MINIMALLY INVASIVE SURGERY CENTER OF N.E., LLC BEDFORD NH $170K
GRAND RAPIDS SURGICAL SUITES LLC GRAND RAPIDS MI $112K
ROCKWALL COUNTY HELPING HANDS, INC. ROCKWALL TX $106K
HAZLETON SURGERY CENTER, LLC HAZLETON PA $97K
SURGICAL INSTITUTE OF READING LLC WYOMISSING PA $96K
NORTHERN MICHIGAN SURGICAL SUITES, LLC BOYNE CITY MI $93K
SUMMIT AMBULATORY SURGICAL CENTER, LLC BALTIMORE MD $87K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 956 $682K
2019 758 $658K
2020 223 $232K
2021 149 $131K
2022 413 $289K
2023 1,135 $568K
2024 775 $375K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
42820 Tonsillectomy and adenoidectomy; younger than age 12 837 829 $1.07M
42830 1,255 1,242 $996K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,400 1,121 $643K
30140 476 402 $202K
41520 12 12 $11K
69620 18 13 $9K
30903 14 13 $3K
L8699 Prosthetic implant, not otherwise specified 397 355 $0.00