JFK Medical Associates PA
JFK Medical Associates PA was paid $4.44M by Medicaid between Jan 2018 and Dec 2022, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoJFK MEDICAL ASSOCIATES PA
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
33aNPI1285078592assigned 04/18/2013
33bProvider typeSpecialist
28Total paid$4.44M
24GClaims151,027
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#13 of 378
Median peer was paid$63K
This provider vs. median71×
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.
Entity ProliferationAuthorized official SMITH, RICHARD controls 13+ related entities in our dataset. Read more
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 | 27,527 | $506K | |
| 2019 | 23,534 | $578K | |
| 2020 | 25,027 | $717K | |
| 2021 | 35,086 | $1.33M | |
| 2022 | 39,853 | $1.31M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 30,822 | 27,709 | $1.61M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 41,233 | 12,942 | $710K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 13,496 | 10,936 | $496K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.2% | 3,678 | 3,592 | $232K |
| 99205 | Prolong outpt/office vis | 4.9% | 1,906 | 1,863 | $220K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 8,798 | 4,000 | $157K |
| 36478 | 2.4% | 138 | 88 | $107K | |
| 93000 | 2.3% | 12,827 | 12,340 | $100K | |
| 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 | 2.1% | 1,035 | 1,006 | $93K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 2,466 | 2,291 | $84K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.9% | 8,920 | 6,092 | $82K |
| 99223 | Prolong inpt eval add15 m | 1.7% | 2,405 | 2,263 | $75K |
59 more codes
| 93458 | 1.4% | 597 | $60K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.0% | 3,753 | $44K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 1,061 | $39K |
| 93970 | <1% | 449 | $38K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 400 | $32K |
| 93922 | <1% | 709 | $29K | |
| 29581 | <1% | 870 | $26K | |
| 29580 | <1% | 2,011 | $23K | |
| 93224 | <1% | 428 | $22K | |
| 99442 | <1% | 694 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,340 | $20K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 107 | $11K |
| 93016 | <1% | 1,041 | $10K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 132 | $10K |
| 99152 | <1% | 721 | $9K | |
| 93880 | <1% | 218 | $9K | |
| 93018 | <1% | 1,041 | $9K | |
| 93978 | <1% | 208 | $7K | |
| 99253 | <1% | 82 | $6K | |
| 99221 | <1% | 213 | $5K | |
| 99236 | Prolong inpt eval add15 m | <1% | 74 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,034 | $4K |
| 93299 | <1% | 267 | $4K | |
| 93971 | <1% | 83 | $4K | |
| 93244 | <1% | 203 | $3K | |
| 99441 | <1% | 117 | $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 | <1% | 129 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 34 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 47 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,135 | $1K |
| 99443 | <1% | 33 | $983.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 69 | $899.57 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 130 | $817.42 |
| 99153 | Mod sedat endo service >5yrs | <1% | 324 | $689.00 |
| 82270 | <1% | 347 | $559.69 | |
| 93015 | <1% | 13 | $521.05 | |
| 85027 | <1% | 289 | $500.49 | |
| 99386 | <1% | 12 | $476.45 | |
| 99307 | <1% | 64 | $412.07 | |
| 93242 | <1% | 39 | $409.85 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $330.74 |
| 90674 | <1% | 12 | $320.23 | |
| 93290 | <1% | 15 | $312.67 | |
| 99318 | <1% | 15 | $239.53 | |
| 93298 | <1% | 24 | $238.99 | |
| 90682 | <1% | 13 | $207.57 | |
| 94010 | <1% | 37 | $200.13 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 117 | $63.24 |
| 94375 | <1% | 14 | $56.00 | |
| 76937 | <1% | 16 | $51.56 | |
| 94727 | <1% | 14 | $44.02 | |
| 94729 | <1% | 14 | $30.70 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 836 | $26.00 |
| 94200 | <1% | 14 | $16.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 135 | $0.00 |
| 1159F | 0% | 31 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 71 | $0.00 |
| 1036F | 0% | 352 | $0.00 | |
| 3017F | 0% | 39 | $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 officialSMITH, RICHARD (CFO)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.