Physician
Medical Specialists of Northern Newjersey LLC
Medical Specialists of Northern Newjersey LLC was paid $364K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoMEDICAL SPECIALISTS OF NORTHERN NEWJERSEY LLC
WAYNE, NJ 07470
WAYNE, NJ 07470
33aNPI1255690822assigned 05/16/2012
33bProvider typePulmonary Disease Physician
28Total paid$364K
24GClaims13,026
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New Jersey
Rank by total paid#14 of 112
Median peer was paid$24K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2018 | 2,630 | $94K | |
| 2019 | 2,209 | $74K | |
| 2020 | 1,706 | $67K | |
| 2021 | 1,298 | $44K | |
| 2022 | 1,080 | $18K | |
| 2023 | 2,416 | $41K | |
| 2024incomplete | 1,687 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 65% | 5,350 | 4,402 | $236K |
| 94729 | 4.9% | 661 | 628 | $18K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.3% | 522 | 477 | $16K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.9% | 152 | 152 | $14K |
| 94727 | 3.8% | 654 | 620 | $14K | |
| 94060 | 3.5% | 332 | 327 | $13K | |
| 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 | 2.9% | 154 | 146 | $11K |
| 36410 | 2.3% | 689 | 681 | $8K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 174 | 63 | $8K |
| 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 | 1.5% | 130 | 119 | $5K |
| 94010 | 1.2% | 515 | 474 | $4K | |
| 90674 | 1.1% | 247 | 242 | $4K |
15 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 1,533 | $3K |
| 96103 | <1% | 161 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 170 | $2K |
| 96136 | <1% | 136 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 151 | $771.84 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 71 | $611.11 |
| 96130 | <1% | 15 | $448.65 | |
| 90661 | <1% | 38 | $383.38 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 504 | $340.21 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 323 | $281.10 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 29 | $202.62 |
| 93000 | <1% | 12 | $161.51 | |
| G0008 | Administration of influenza virus vaccine | <1% | 30 | $34.66 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 20 | $14.10 |
| 99000 | <1% | 253 | $3.00 |
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 officialALFAKIR, MARIA (OWNER/MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Medical Specialist of Northern Jersey LLC | Haledon, NJ | $304K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.