Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pemberton, Nicola

Pemberton, Nicola was paid $105K by Medicaid between Jun 2020 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoPEMBERTON, NICOLA
UNION, NJ 07083
33aNPI1306030507assigned 08/30/2007
28Total paid$105K
24GClaims4,038
24DCodes billed5
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New Jersey

Rank by total paid#81 of 186
Median peer was paid$75K
This provider vs. median1.4×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
202013$606.71
202188$5K
202252$3K
20232,246$49K
2024incomplete1,639$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 91% 2,167 1,320 $96K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4.3% 63 63 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.2% 42 37 $2K
81002 1.5% 901 518 $2K
36415 Collection of venous blood by venipuncture <1% 865 723 $936.17

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.