Medicaid Provider Spending

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

HOLY NAME HEALTH PHYSICIANS

NPI: 1194395269 · TEANECK, NJ 07666 · Family Medicine Physician · NPI assigned 06/30/2021

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

Authorized official BENIQUEZ PACHECO, PATRICIA controls 11+ related entities in our dataset. Read more

$112K
Total Medicaid Paid
5,157
Total Claims
3,585
Beneficiaries
11
Codes Billed
2022-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBENIQUEZ PACHECO, PATRICIA (CREDENTIALING SUPERVISOR)
NPI Enumeration Date06/30/2021

Related Entities

Other providers sharing the same authorized official: BENIQUEZ PACHECO, PATRICIA

ProviderCityStateTotal Paid
EXCELCARE MEDICAL ASSOCIATES, PA TEANECK NJ $9.97M
PEACE HEALTH PARTNERS, PC TEANECK NJ $1.24M
BREAST IMAGING PARTNERS, PC TEANECK NJ $661K
HOLY NAME PRIMARY CARE AND SPECIALTY ASSOCIATES, PC TEANECK NJ $512K
HOLY NAME PULMONARY ASSOCIATES, PC TEANECK NJ $389K
HOUSE PHYSICIAN PARTNERS, PC TEANECK NJ $274K
MS COMPREHENSIVE CARE CENTER TEANECK NJ $190K
HOLY NAME CARDIOLOGY ASSOCIATES, PC TEANECK NJ $120K
RADIATION ONCOLOGY PARTNERS PC TEANECK NJ $35K
HOLY NAME HOSPITAL EKG INTERPRETATION GROUP TEANECK NJ $26K
HOLY NAME ANESTHESIA PARTNERS TEANECK NJ $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,913 $31K
2023 2,100 $51K
2024 1,144 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,132 1,910 $93K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 410 323 $9K
95813 186 158 $4K
99215 Prolong outpt/office vis 67 66 $3K
36415 Collection of venous blood by venipuncture 1,130 952 $1K
93000 145 106 $928.68
99205 Prolong outpt/office vis 14 12 $471.94
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24 15 $158.68
99223 Prolong inpt eval add15 m 15 12 $129.20
95819 12 12 $124.80
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 22 19 $0.00