Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › NEPTUNE › JFK MEDICAL ASSOCIATES PA

JFK MEDICAL ASSOCIATES PA

NPI: 1285078592 · NEPTUNE, NJ 07753 · Specialist · NPI assigned 04/18/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, RICHARD controls 13+ related entities in our dataset. Read more

$4.44M
Total Medicaid Paid
151,027
Total Claims
101,173
Beneficiaries
71
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialSMITH, RICHARD (CFO)
NPI Enumeration Date04/18/2013

Related Entities

Other providers sharing the same authorized official: SMITH, RICHARD

ProviderCityStateTotal Paid
COMMUNITY HOSPITAL GROUP INC EDISON NJ $71.47M
COMMUNITY HOSPITAL GROUP INC EDISON NJ $5.80M
MODERN DENTAL PROFESSIONALS-SMITH PA PINE BLUFF AR $2.27M
COMMUNITY HOSPITAL GROUP INC EDISON NJ $928K
COMMUNITY HOSPITAL GROUP, INC EDISON NJ $627K
COMMUNITY HOSPITAL GROUP INC EDISON NJ $399K
JAMESTOWN INTERNAL MEDICINE P.C. JAMESTOWN TN $350K
COMMUNITY HOSPITAL GROUP INC EDISON NJ $99K
NORTH BAY FAMILY MEDICAL CLINIC, PA BILOXI MS $76K
PATHOLOGY ASSOCIATES OF STURDY MEMORIAL HOSPITAL INC ATTLEBORO MA $55K
RICHARD COLVILLE SMITH, M.D., INC. VISTA CA $46K
NORTH ATTLEBOROUGH PUBLIC SCHOOLS NORTH ATTLEBORO MA $30K
COMMUNITY HOSPITAL GROUP INC EDISON NJ $393.92

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,527 $506K
2019 23,534 $578K
2020 25,027 $717K
2021 35,086 $1.33M
2022 39,853 $1.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,822 27,709 $1.61M
99232 Subsequent hospital care, per day, moderate complexity 41,233 12,942 $710K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,496 10,936 $496K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,678 3,592 $232K
99205 Prolong outpt/office vis 1,906 1,863 $220K
99233 Prolong inpt eval add15 m 8,798 4,000 $157K
36478 138 88 $107K
93000 12,827 12,340 $100K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,035 1,006 $93K
99222 Initial hospital care, per day, moderate complexity 2,466 2,291 $84K
99308 Subsequent nursing facility care, per day, straightforward 8,920 6,092 $82K
99223 Prolong inpt eval add15 m 2,405 2,263 $75K
93458 597 514 $60K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,753 967 $44K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,061 1,042 $39K
93970 449 426 $38K
99215 Prolong outpt/office vis 400 356 $32K
93922 709 666 $29K
29581 870 306 $26K
29580 2,011 683 $23K
93224 428 400 $22K
99442 694 545 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,340 1,036 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 107 95 $11K
93016 1,041 1,018 $10K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 132 51 $10K
99152 721 612 $9K
93880 218 218 $9K
93018 1,041 1,018 $9K
93978 208 208 $7K
99253 82 78 $6K
99221 213 201 $5K
99236 Prolong inpt eval add15 m 74 57 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,034 909 $4K
93299 267 267 $4K
93971 83 63 $4K
93244 203 180 $3K
99441 117 111 $2K
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 129 129 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 34 32 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 47 40 $2K
36415 Collection of venous blood by venipuncture 1,135 1,005 $1K
99443 33 33 $983.25
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 69 68 $899.57
G0444 Annual depression screening, 5 to 15 minutes 130 127 $817.42
99153 Mod sedat endo service >5yrs 324 256 $689.00
82270 347 323 $559.69
93015 13 12 $521.05
85027 289 216 $500.49
99386 12 12 $476.45
99307 64 48 $412.07
93242 39 39 $409.85
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 16 $330.74
90674 12 12 $320.23
93290 15 14 $312.67
99318 15 15 $239.53
93298 24 24 $238.99
90682 13 13 $207.57
94010 37 36 $200.13
85025 Blood count; complete (CBC), automated, and automated differential WBC count 117 96 $63.24
94375 14 13 $56.00
76937 16 13 $51.56
94727 14 13 $44.02
94729 14 13 $30.70
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 836 790 $26.00
94200 14 13 $16.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 135 130 $0.00
1159F 31 27 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 71 65 $0.00
1036F 352 342 $0.00
3017F 39 39 $0.00