Physician
ST Josephs Medical Group PC
ST Josephs Medical Group PC was paid $10.11M by Medicaid between Mar 2022 and Dec 2024, across 161 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoST JOSEPHS MEDICAL GROUP PC
PATERSON, NJ 07503
PATERSON, NJ 07503
33aNPI1205425519assigned 01/12/2021
33bProvider typeInternal Medicine Physician
28Total paid$10.11M
24GClaims246,623
24DCodes billed161
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#9 of 1,027
Median peer was paid$30K
This provider vs. median340×
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 | |
|---|---|---|---|
| 2022 | 5,980 | $100K | |
| 2023 | 118,321 | $5.42M | |
| 2024incomplete | 122,322 | $4.59M |
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 | 20% | 32,591 | 26,447 | $2.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 34,346 | 27,729 | $1.56M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 8.1% | 8,342 | 3,328 | $818K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.6% | 23,062 | 7,041 | $569K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.5% | 9,734 | 8,437 | $552K |
| 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 | 4.5% | 6,092 | 5,195 | $453K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 4,369 | 3,573 | $393K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.8% | 12,817 | 3,697 | $385K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 3,769 | 3,387 | $226K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.1% | 6,061 | 5,009 | $209K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 3,046 | 2,438 | $178K |
| 99205 | Prolong outpt/office vis | 1.7% | 1,510 | 1,343 | $170K |
149 more codes
| 76818 | 1.4% | 3,156 | $145K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 2,872 | $130K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.2% | 1,218 | $123K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.2% | 1,687 | $119K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.2% | 3,532 | $118K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 3,870 | $116K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 1,544 | $103K |
| 97803 | <1% | 1,383 | $95K | |
| 59515 | <1% | 80 | $79K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 299 | $77K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 2,438 | $71K |
| 59410 | <1% | 84 | $62K | |
| 10060 | <1% | 1,262 | $61K | |
| 17110 | <1% | 816 | $60K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 623 | $59K |
| 76820 | <1% | 2,943 | $57K | |
| 43775 | <1% | 94 | $54K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,030 | $51K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 956 | $47K |
| S9083 | Global fee urgent care centers | <1% | 596 | $46K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,119 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 638 | $41K |
| 99460 | <1% | 779 | $40K | |
| 96112 | <1% | 660 | $39K | |
| 95782 | <1% | 337 | $33K | |
| 94010 | <1% | 2,589 | $33K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 503 | $31K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,594 | $29K |
| 99385 | <1% | 399 | $29K | |
| 99462 | <1% | 1,105 | $28K | |
| 99221 | <1% | 598 | $25K | |
| 99471 | <1% | 57 | $22K | |
| 76821 | <1% | 878 | $21K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 296 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 256 | $19K |
| 99381 | <1% | 287 | $19K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 82 | $18K |
| 99292 | <1% | 587 | $17K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 546 | $16K |
| 94729 | <1% | 1,036 | $15K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,453 | $15K |
| 76981 | <1% | 270 | $15K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 492 | $14K |
| 95816 | <1% | 526 | $12K | |
| 96127 | <1% | 5,003 | $12K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 2,512 | $11K |
| 76813 | <1% | 188 | $11K | |
| 99284 | Emergency room visit (serious) | <1% | 188 | $11K |
| 94060 | <1% | 744 | $11K | |
| 54150 | <1% | 84 | $10K | |
| 31575 | <1% | 129 | $10K | |
| 97802 | <1% | 196 | $10K | |
| 76801 | <1% | 152 | $9K | |
| 99386 | <1% | 89 | $9K | |
| 76830 | Ultrasound, transvaginal | <1% | 104 | $9K |
| 36573 | <1% | 57 | $9K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 64 | $8K |
| 10040 | <1% | 382 | $8K | |
| 99283 | Emergency room visit (moderate) | <1% | 203 | $7K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 160 | $7K |
| 11102 | <1% | 120 | $7K | |
| 94727 | <1% | 246 | $6K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 102 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 537 | $5K |
| 87430 | <1% | 2,131 | $5K | |
| 94726 | <1% | 669 | $4K | |
| 81025 | <1% | 1,295 | $4K | |
| 95719 | <1% | 30 | $4K | |
| 94664 | <1% | 374 | $4K | |
| 11901 | <1% | 82 | $4K | |
| 54161 | <1% | 27 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 174 | $4K |
| 99417 | Prolong home eval add 15m | <1% | 428 | $4K |
| 95886 | <1% | 61 | $3K | |
| 95117 | <1% | 378 | $3K | |
| 87400 | <1% | 1,593 | $3K | |
| 93790 | <1% | 476 | $3K | |
| 95720 | <1% | 25 | $3K | |
| 92551 | <1% | 213 | $2K | |
| 95822 | <1% | 95 | $2K | |
| 99459 | <1% | 110 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 403 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 35 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 204 | $2K |
| 37252 | <1% | 24 | $2K | |
| 51798 | <1% | 400 | $2K | |
| 11900 | <1% | 72 | $1K | |
| 95885 | <1% | 106 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 316 | $1K |
| 51702 | <1% | 65 | $1K | |
| 99195 | <1% | 39 | $1K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 168 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 110 | $1K |
| 99236 | Prolong inpt eval add15 m | <1% | 12 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 110 | $837.39 |
| 76937 | <1% | 187 | $835.65 | |
| 99408 | <1% | 31 | $796.36 | |
| 99497 | <1% | 32 | $788.88 | |
| 81002 | <1% | 1,396 | $672.28 | |
| 90686 | <1% | 41 | $631.59 | |
| 95908 | <1% | 13 | $578.76 | |
| 99173 | <1% | 264 | $552.67 | |
| 92015 | Determination of refractive state | <1% | 45 | $463.33 |
| 69210 | <1% | 12 | $455.33 | |
| 81003 | <1% | 3,038 | $434.31 | |
| 92201 | <1% | 30 | $420.54 | |
| 99235 | <1% | 14 | $406.87 | |
| 99443 | <1% | 31 | $387.97 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 105 | $373.29 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 61 | $371.09 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $364.46 |
| 96040 | <1% | 53 | $364.28 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 42 | $356.12 |
| 99024 | <1% | 3,853 | $343.74 | |
| 96160 | <1% | 991 | $304.28 | |
| 94618 | <1% | 13 | $231.46 | |
| 36410 | <1% | 21 | $225.22 | |
| 93308 | <1% | 41 | $169.05 | |
| 86710 | <1% | 134 | $150.72 | |
| 99219 | <1% | 27 | $127.13 | |
| 74328 | <1% | 14 | $125.87 | |
| 91200 | <1% | 19 | $103.09 | |
| 99307 | <1% | 16 | $80.22 | |
| S2900 | Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) | <1% | 220 | $36.06 |
| 93016 | <1% | 26 | $27.54 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 15 | $26.25 |
| 3044F | <1% | 900 | $26.02 | |
| 82962 | <1% | 133 | $17.68 | |
| 99078 | <1% | 20 | $16.10 | |
| 76604 | <1% | 40 | $13.16 | |
| 3074F | <1% | 301 | $13.01 | |
| 3078F | <1% | 315 | $8.01 | |
| 3046F | <1% | 54 | $2.00 | |
| 94761 | <1% | 25 | $1.00 | |
| 3079F | <1% | 29 | $1.00 | |
| 1036F | 0% | 744 | $0.00 | |
| 3008F | 0% | 10,304 | $0.00 | |
| 1101F | 0% | 901 | $0.00 | |
| 3048F | 0% | 117 | $0.00 | |
| 1034F | 0% | 136 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 47 | $0.00 |
| 3049F | 0% | 69 | $0.00 | |
| 3351F | 0% | 138 | $0.00 | |
| 4010F | 0% | 184 | $0.00 | |
| 0503F | 0% | 66 | $0.00 | |
| 4013F | 0% | 487 | $0.00 | |
| 0502F | 0% | 982 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 14 | $0.00 |
| 3050F | 0% | 24 | $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 officialALWELL, MICHAEL (VP REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| ST. Joseph's Healthcare, INC. | Paterson, NJ | $31.77M |
| ST. Joseph's Emergency Physicians INC | Paterson, NJ | $24.13M |
| ST. Josephs Physicians Healthcare Group INC | Paterson, NJ | $2.15M |
| Radiation Oncology Group at SBMC | West Orange, NJ | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.