Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › RED BANK › HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC

HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC

NPI: 1215989249 · RED BANK, NJ 07701 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 05/17/2006

$50.09M
Total Medicaid Paid
913,147
Total Claims
733,439
Beneficiaries
244
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVARGA, DANIEL (DIRECTOR)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: VARGA, DANIEL

ProviderCityStateTotal Paid
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC RED BANK NJ $21.84M
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC RED BANK NJ $11.60M
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC RED BANK NJ $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56,699 $4.09M
2019 58,643 $3.84M
2020 52,447 $3.14M
2021 80,713 $5.48M
2022 133,979 $7.41M
2023 288,157 $13.91M
2024 242,509 $12.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 121,036 106,614 $8.78M
99284 Emergency department visit for the evaluation and management, high severity 110,891 102,889 $8.48M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 87,050 74,989 $4.72M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 43,721 38,753 $3.73M
99232 Subsequent hospital care, per day, moderate complexity 81,259 29,417 $2.26M
99283 Emergency department visit for the evaluation and management, moderate severity 39,722 38,065 $1.98M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16,220 15,500 $1.96M
90792 Psychiatric diagnostic evaluation with medical services 6,398 5,171 $1.45M
99215 Prolong outpt/office vis 11,720 10,504 $1.32M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 12,214 4,623 $1.19M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14,378 13,502 $1.17M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,975 9,719 $931K
99233 Prolong inpt eval add15 m 24,128 8,775 $885K
99223 Prolong inpt eval add15 m 9,945 8,578 $598K
99205 Prolong outpt/office vis 4,336 3,911 $556K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 20,123 17,726 $554K
76819 Fetal biophysical profile; without non-stress testing 18,030 13,890 $553K
99222 Initial hospital care, per day, moderate complexity 8,342 7,368 $456K
99282 Emergency department visit for the evaluation and management, low to moderate severity 14,328 14,044 $439K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 81,122 65,166 $352K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 1,392 478 $341K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,702 2,558 $333K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,933 1,791 $296K
90791 Psychiatric diagnostic evaluation 1,277 1,158 $276K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1,119 236 $263K
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,192 2,162 $252K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,079 6,763 $242K
99238 Hospital discharge day management, 30 minutes or less 4,978 4,477 $239K
99480 Subsequent intensive care, per day, low birth weight infant 3,321 1,027 $237K
90834 Psychotherapy, 45 minutes with patient 4,713 2,911 $221K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,412 2,369 $221K
93000 15,342 14,619 $209K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,422 2,188 $206K
99231 Subsequent hospital care, per day, straightforward or low complexity 10,332 5,308 $195K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,613 1,565 $168K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,064 1,004 $167K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,546 2,480 $161K
95782 1,243 1,236 $159K
59426 1,170 881 $155K
99239 Hospital discharge day management, more than 30 minutes 3,099 2,696 $148K
90832 Psychotherapy, 30 minutes with patient 3,613 1,729 $142K
93325 6,188 5,554 $134K
99479 Subsequent intensive care, per day, very low birth weight infant 1,576 504 $127K
76830 Ultrasound, transvaginal 1,015 963 $114K
99460 2,274 2,031 $107K
45380 Colonoscopy, flexible; with biopsy, single or multiple 502 474 $99K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 162 148 $86K
93320 1,908 1,784 $86K
99442 3,037 2,508 $84K
93970 3,162 2,762 $82K
99308 Subsequent nursing facility care, per day, straightforward 3,319 506 $80K
95720 980 425 $77K
59425 712 634 $73K
99243 609 609 $73K
99244 Office or other outpatient consultation, moderate to high complexity 411 410 $64K
99443 1,458 1,329 $64K
99292 1,619 1,109 $60K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 761 736 $54K
76813 1,153 1,078 $50K
29581 1,888 578 $50K
94729 1,901 1,850 $49K
94060 2,448 2,397 $49K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,679 1,518 $48K
99383 109 109 $48K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,316 1,916 $48K
90460 Immunization administration through 18 years of age via any route, first or only component 1,846 1,741 $48K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 666 639 $41K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,207 1,100 $41K
42820 Tonsillectomy and adenoidectomy; younger than age 12 145 145 $41K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,192 748 $40K
94727 1,950 1,897 $39K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 284 257 $38K
99242 406 405 $37K
99245 159 159 $35K
29580 1,785 659 $34K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 480 423 $34K
94010 3,731 3,639 $32K
99384 91 88 $32K
99254 220 205 $27K
95024 319 303 $26K
97803 1,173 1,146 $24K
69210 537 515 $23K
D9420 104 81 $22K
99385 211 206 $21K
99221 545 511 $20K
95800 401 381 $20K
93016 2,011 1,796 $19K
99235 130 125 $18K
20610 537 406 $18K
97802 539 530 $18K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 306 302 $18K
81025 3,154 2,850 $17K
99386 131 130 $16K
93880 852 798 $16K
90870 678 133 $15K
31575 133 124 $15K
77067 Screening mammography, bilateral, including computer-aided detection 735 685 $14K
99462 661 468 $14K
90461 502 489 $14K
95886 356 305 $14K
93018 2,010 1,795 $13K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 327 180 $13K
92511 79 78 $12K
95251 640 600 $12K
99219 131 126 $12K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 52 52 $11K
76820 570 420 $11K
64644 267 230 $11K
95806 241 239 $11K
77063 Screening digital breast tomosynthesis, bilateral 716 665 $11K
99253 190 176 $10K
95811 108 105 $10K
36415 Collection of venous blood by venipuncture 3,867 3,429 $10K
93224 221 193 $8K
76821 320 231 $8K
99306 Prolong nursin fac eval 15m 173 160 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 626 607 $8K
93971 476 452 $7K
73130 371 266 $7K
99252 125 115 $7K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 105 63 $7K
93321 573 439 $7K
95816 200 181 $6K
95250 152 144 $6K
64643 160 146 $6K
95819 163 152 $5K
93304 162 105 $5K
99497 265 221 $5K
59430 25 25 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 229 183 $5K
52000 24 24 $5K
95722 27 26 $5K
59025 Fetal non-stress test 154 120 $5K
90682 103 99 $4K
0011A 128 128 $4K
0012A 119 119 $4K
93308 91 78 $4K
93356 251 239 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 188 178 $4K
99441 435 332 $4K
95718 69 52 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 88 84 $3K
76801 92 87 $3K
76825 13 13 $3K
99255 27 26 $3K
51798 203 191 $3K
99336 183 138 $3K
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) 1,034 927 $3K
20611 70 43 $3K
90836 43 26 $3K
99464 36 36 $2K
73564 101 66 $2K
64483 16 14 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 163 154 $2K
95874 389 348 $2K
93458 16 15 $2K
97597 63 36 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 214 202 $2K
D9310 97 88 $2K
93922 117 107 $2K
00170 Anesthesia for intraoral procedures, including biopsy 14 14 $2K
95909 55 42 $2K
88150 245 235 $2K
73030 70 56 $2K
92567 113 101 $1K
72110 52 51 $1K
88312 77 76 $1K
83036 Hemoglobin; glycosylated (A1C) 897 812 $1K
90686 515 493 $1K
D0367 69 61 $1K
11721 109 107 $1K
85027 512 382 $1K
92550 90 90 $1K
88142 80 75 $1K
92588 45 45 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 245 198 $1K
93244 96 84 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 124 94 $1K
76827 13 13 $971.65
64615 22 16 $963.53
70355 80 64 $929.11
92557 31 31 $923.82
81002 1,174 739 $901.20
76706 172 158 $872.17
82962 1,797 1,690 $843.82
93015 12 12 $731.99
99281 Emergency department visit for the evaluation and management, self-limited or minor 47 47 $684.51
99349 14 12 $667.85
51741 61 59 $658.39
77065 Tomosynthesis, mammo 33 25 $653.66
88313 91 88 $651.46
88342 63 62 $621.24
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 53 26 $569.52
90935 Hemodialysis procedure with single evaluation by a physician 46 25 $549.61
99152 51 40 $529.37
99348 33 25 $498.69
82948 162 156 $495.42
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 49 15 $478.18
96132 73 54 $449.72
99217 13 12 $447.58
93925 28 25 $432.70
94664 187 180 $383.12
90674 15 15 $359.38
J1050 Injection, medroxyprogesterone acetate, 1 mg 104 99 $283.00
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 29 27 $269.16
99459 17 14 $248.65
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 52 43 $220.53
94200 21 21 $189.98
77062 25 24 $165.60
36410 15 13 $161.40
70350 12 12 $160.04
76937 35 29 $140.35
90863 122 94 $121.33
93298 14 13 $110.80
93923 14 14 $110.67
82272 27 25 $91.26
90662 12 12 $83.01
73110 17 14 $74.06
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 19 12 $60.84
62370 14 12 $51.05
81001 13 13 $40.03
99417 Prolong home eval add 15m 150 123 $32.97
99367 21 13 $24.51
96160 12 12 $19.25
36416 322 301 $18.19
99153 Mod sedat endo service >5yrs 21 14 $17.08
90633 25 25 $2.00
90670 129 123 $1.00
G9781 Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) 95 91 $0.00
0502F 1,324 1,098 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 158 153 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,295 1,208 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 201 192 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 12 12 $0.00
G2122 Depression, anxiety, apathy, and psychosis not assessed 16 16 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 857 813 $0.00
90680 45 45 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 159 154 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 667 645 $0.00
1126F 113 109 $0.00
90698 48 46 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 199 190 $0.00
90744 14 13 $0.00
91301 12 12 $0.00