Physician
Plainsboro Medical Associates PA
Plainsboro Medical Associates PA was paid $303K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoPLAINSBORO MEDICAL ASSOCIATES PA
PLAINSBORO, NJ 08536
PLAINSBORO, NJ 08536
33aNPI1386966760assigned 02/25/2010
33bProvider typeInternal Medicine Physician
28Total paid$303K
24GClaims13,818
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#179 of 1,027
Median peer was paid$30K
This provider vs. median10×
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 | 1,079 | $38K | |
| 2019 | 1,577 | $53K | |
| 2020 | 2,497 | $58K | |
| 2021 | 1,847 | $42K | |
| 2022 | 2,806 | $46K | |
| 2023 | 2,219 | $42K | |
| 2024incomplete | 1,793 | $24K |
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 | 48% | 3,988 | 3,308 | $144K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 3,452 | 2,768 | $79K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 834 | 776 | $33K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 9.8% | 1,634 | 573 | $30K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 273 | 245 | $3K |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.1% | 736 | 666 | $3K |
| 93000 | <1% | 381 | 373 | $3K | |
| 90686 | <1% | 299 | 291 | $2K | |
| 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% | 719 | 455 | $2K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 702 | 624 | $2K |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 96 | 80 | $499.81 |
| 90674 | <1% | 17 | 17 | $311.22 |
8 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 170 | $264.42 |
| 90688 | <1% | 33 | $246.17 | |
| G0008 | Administration of influenza virus vaccine | <1% | 147 | $80.66 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 87 | $51.92 |
| 99442 | <1% | 14 | $47.92 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 48 | $27.44 |
| 36410 | <1% | 17 | $1.95 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 171 | $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 officialKARAISZ, ZHUPING (PRESIDENT)