Physician
Carl Restivo JR., M.D., PA
Carl Restivo JR., M.D., PA was paid $1K by Medicaid between Jan 2018 and Jun 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoCARL RESTIVO JR., M.D., PA
JERSEY CITY, NJ 07307
JERSEY CITY, NJ 07307
33aNPI1326354267assigned 08/30/2010
33bProvider typeRheumatology Physician
28Total paid$1K
24GClaims373
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Rheumatology Physician providers in New Jersey
Rank by total paid#28 of 34
Median peer was paid$33K
This provider vs. median0.0×
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 | 15 | $509.85 | |
| 2020 | 314 | $356.99 | |
| 2021 | 28 | $159.71 | |
| 2023 | 16 | $0.00 |
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 | 69% | 89 | 76 | $703.50 |
| 96401 | 21% | 172 | 121 | $211.05 | |
| J9250 | Methotrexate sodium, 5 mg | 11% | 112 | 79 | $112.00 |
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 officialRESTIVO, CARL (PRESIDENT)