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

Hackensack Meridian Health Medical Group - Primary Care PC

Hackensack Meridian Health Medical Group - Primary Care PC was paid $21.84M by Medicaid between Jan 2018 and Dec 2024, across 168 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoHACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
RED BANK, NJ 07701
33aNPI1336203538assigned 12/21/2006
28Total paid$21.84M
24GClaims515,487
24DCodes billed168
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#5 of 1,027
Median peer was paid$30K
This provider vs. median734×

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$500K$1.0M2018201920202021202220232024
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
201838,912$1.30M
201957,397$2.04M
202044,593$1.78M
202155,417$2.49M
202258,684$2.70M
2023128,732$5.34M
2024incomplete131,752$6.18M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 42% 110,303 99,765 $9.14M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 115,221 103,873 $6.98M
90460 Immunization administration through 18 years of age via any route, first or only component 3.3% 37,301 34,845 $722K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.0% 23,468 7,593 $649K
99223 Prolong inpt eval add15 m 2.2% 4,519 3,915 $482K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.9% 6,900 6,563 $412K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.5% 5,112 1,938 $332K
99442 1.3% 5,438 4,832 $286K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.1% 4,703 4,335 $241K
99222 Initial hospital care, per day, moderate complexity 1.0% 3,171 2,715 $221K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 3,364 3,220 $209K
99238 Hospital discharge day management, 30 minutes or less <1% 4,463 3,834 $191K
156 more codes
99239 Hospital discharge day management, more than 30 minutes <1% 2,718 $187K
90461 <1% 9,140 $160K
99204 Doctor's office visit, new patient (more involved) <1% 1,475 $144K
99460 <1% 2,278 $123K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 10,370 $103K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,101 $101K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,369 $90K
99203 Doctor's office visit, new patient (routine) <1% 932 $86K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,206 $84K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,964 $68K
93000 <1% 6,431 $67K
99308 Subsequent nursing facility care, per day, straightforward <1% 3,587 $57K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,228 $56K
99443 <1% 993 $50K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,335 $48K
92551 <1% 3,540 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,014 $38K
99441 <1% 1,183 $36K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 820 $26K
36415 Collection of venous blood by venipuncture <1% 8,457 $25K
96127 <1% 5,525 $21K
99218 <1% 419 $21K
99215 Doctor's office visit, returning patient (complex) <1% 219 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,207 $20K
90686 <1% 6,691 $20K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 923 $19K
90682 <1% 394 $18K
99217 <1% 484 $17K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 365 $16K
80305 <1% 1,591 $14K
99462 <1% 511 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 157 $12K
93922 <1% 362 $12K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 189 $12K
92552 <1% 533 $9K
92587 <1% 426 $9K
17110 <1% 78 $9K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 102 $7K
90792 Psychiatric diagnostic evaluation with medical services <1% 89 $7K
99464 <1% 123 $6K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 1,411 $5K
90677 <1% 438 $5K
90670 <1% 1,363 $5K
99406 <1% 614 $5K
99283 Emergency room visit (moderate) <1% 93 $5K
90656 <1% 678 $5K
0011A <1% 114 $4K
99349 <1% 262 $4K
0012A <1% 100 $4K
90472 Immunization administration, each additional vaccine (list separately) <1% 239 $3K
99385 <1% 68 $3K
90688 <1% 149 $3K
99220 <1% 35 $3K
99224 <1% 150 $3K
0071A <1% 57 $2K
99401 <1% 118 $2K
99205 Prolong outpt/office vis <1% 13 $2K
99173 <1% 1,758 $2K
99219 <1% 25 $2K
83655 <1% 539 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 229 $2K
99235 <1% 17 $2K
99236 Prolong inpt eval add15 m <1% 14 $2K
87807 <1% 691 $1K
90698 <1% 714 $1K
90662 <1% 176 $1K
90673 <1% 54 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 139 $1K
0072A <1% 27 $1K
0002A <1% 26 $994.85
99497 <1% 28 $928.74
99221 <1% 26 $897.39
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% 67 $823.43
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 29 $811.95
87428 <1% 33 $728.58
36416 <1% 378 $691.91
G0444 Annual depression screening, 5 to 15 minutes <1% 92 $685.64
S9470 Nutritional counseling, dietitian visit <1% 100 $567.50
0240U <1% 14 $546.37
0001A <1% 13 $515.88
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 12 $499.29
69210 <1% 15 $413.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 199 $413.53
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 136 $351.90
90619 <1% 65 $347.47
90756 <1% 13 $301.92
92583 <1% 14 $292.32
94375 <1% 56 $281.10
90734 <1% 52 $276.54
90651 <1% 23 $272.02
82270 <1% 241 $269.49
90671 <1% 88 $262.13
94727 <1% 56 $217.66
82948 <1% 158 $206.39
90680 <1% 220 $194.95
90674 <1% 13 $189.45
94729 <1% 56 $154.83
93016 <1% 13 $150.81
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 16 $133.15
G0008 Administration of influenza virus vaccine <1% 129 $123.75
99051 <1% 83 $113.00
93018 <1% 13 $109.32
90723 <1% 90 $103.97
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months <1% 13 $101.22
82962 <1% 207 $78.93
90744 <1% 106 $71.45
94200 <1% 56 $67.98
90648 <1% 148 $62.60
11721 <1% 14 $61.02
90715 <1% 34 $45.31
81001 <1% 27 $41.35
99000 <1% 1,087 $41.24
90697 <1% 43 $35.68
81002 <1% 195 $30.07
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 17,279 $26.01
90661 <1% 250 $21.21
96160 <1% 14 $18.08
83036 Hemoglobin; glycosylated (A1C) <1% 18 $16.31
3046F <1% 445 $5.00
1126F <1% 598 $4.01
90633 <1% 68 $4.00
G9665 Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy <1% 6,159 $2.68
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 16,013 $2.00
90647 <1% 39 $2.00
90716 <1% 21 $2.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 9,068 $1.01
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy <1% 4,558 $0.54
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed <1% 2,632 $0.29
G9781 Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) <1% 340 $0.13
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 4,197 $0.09
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 539 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 4,796 $0.00
3050F 0% 584 $0.00
0502F 0% 76 $0.00
4004F 0% 202 $0.00
0521F 0% 22 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 71 $0.00
91300 0% 61 $0.00
90681 0% 16 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 4,827 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 2,642 $0.00
3048F 0% 2,208 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 4,263 $0.00
1125F 0% 383 $0.00
1036F 0% 1,813 $0.00
3049F 0% 949 $0.00
3008F 0% 45 $0.00
2000F 0% 422 $0.00
99417 Prolong home eval add 15m 0% 14 $0.00
1000F 0% 176 $0.00
2010F 0% 156 $0.00
91307 0% 54 $0.00
1101F 0% 17 $0.00
1220F 0% 44 $0.00
3074F 0% 121 $0.00
3061F 0% 13 $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 officialVARGA, DANIEL (DIRECTOR)
Same official

Other billing entities under VARGA, DANIEL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.