James Street Inpatient Services LLC
James Street Inpatient Services LLC was paid $175K by Medicaid between Nov 2018 and Aug 2020, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 52% of everything it billed.
EDISON, NJ 08820
Next to other Internal Medicine Physician providers in New Jersey
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 631 | $14K | |
| 2019 | 3,721 | $85K | |
| 2020 | 3,313 | $76K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 52% | 4,407 | 2,024 | $91K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 23% | 1,714 | 927 | $41K |
| 99223 | Prolong inpt eval add15 m | 12% | 581 | 568 | $22K |
| 99239 | Hospital discharge day management, more than 30 minutes | 9.8% | 754 | 748 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 172 | 167 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 37 | 37 | $1K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Essex Emergency Physicians LLC | East Orange, NJ | $1.14M |
| Hudson Emergency Medical Associates LLC | Bayonne, NJ | $561K |
| Borthwick Emergency Physicians, LLC | Portsmouth, NH | $522K |
| Purple Finch Inpatient Services, LLC | Portsmouth, NH | $455K |
| Quarry State Inpatient Services, LLC | Derry, NH | $113K |
| New Jersey/Pennsylvania Em-I Medical Services, P.C. | Paramus, NJ | $63K |
| Island City Psych Services LLC | Portsmouth, NH | $55K |
| Humboldt Emergency Physicians LLC | Pottsville, PA | $10K |
| Friendship City Acute Trauma LLC | Portsmouth, NH | $8K |
| Mascoma Street Inpatient Services LLC | Lebanon, NH | $4K |
| Camp Hill Emergency Physicians LLC | Camp Hill, PA | $4K |
| Radcare of Maryland PC | Baltimore, MD | $2K |
| Red Rose Emergency Physicians LLC | Lititz, PA | $770.00 |
| Hackettstown Inpatient Medical Associates LLC | Hackettstown, NJ | $343.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.