Physician
Point Pleasant Medical Group, LLC
Point Pleasant Medical Group, LLC was paid $13K by Medicaid between Jul 2019 and Oct 2024, across 3 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 95% of everything it billed.
33Billing provider infoPOINT PLEASANT MEDICAL GROUP, LLC
POINT PLEASANT BORO, NJ 08742
POINT PLEASANT BORO, NJ 08742
33aNPI1235619073assigned 08/21/2018
33bProvider typeInternal Medicine Physician
28Total paid$13K
24GClaims6,531
24DCodes billed3
24AFirst – last monthJul 2019 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#630 of 1,027
Median peer was paid$30K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 26 | $29.81 | |
| 2020 | 630 | $380.89 | |
| 2021 | 808 | $193.42 | |
| 2022 | 896 | $264.48 | |
| 2023 | 2,432 | $6K | |
| 2024incomplete | 1,739 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 95% | 6,294 | 4,575 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 219 | 65 | $677.00 |
| 99305 | 0% | 18 | 12 | $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 officialKUMAR, SANJAY (DR/OWNER)