Thalody Medical Associates LLC

Thalody Medical Associates LLC was paid $1.70M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoTHALODY MEDICAL ASSOCIATES LLC
ELIZABETH, NJ 07202

33aNPI1417018870assigned 12/12/2006

33bProvider typeNephrology Physician

28Total paid$1.70M

24GClaims59,853

24DCodes billed32

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in New Jersey

Rank by total paid#2 of 117

Median peer was paid$38K

This provider vs. median45×

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	9,848	$315K
2019	9,366	$299K
2020	8,311	$236K
2021	8,147	$242K
2022	9,067	$222K
2023	8,692	$216K
2024incomplete	6,422	$170K

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	54%	29,125	22,570	$912K
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	25%	10,587	9,974	$428K
94060		9.2%	5,158	5,027	$157K
93000		5.0%	7,772	7,584	$85K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	3.2%	1,103	1,009	$54K
93880		<1%	633	554	$15K
93922		<1%	502	481	$9K
90688		<1%	774	774	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	508	508	$6K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	51	50	$4K
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	<1%	37	37	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	59	56	$3K

20 more codes

93925		<1%	79	$3K
99457		<1%	419	$3K
99454		<1%	298	$3K
90686		<1%	109	$1K
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%	251	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	146	$735.35
90656		<1%	73	$626.99
99495		<1%	16	$496.48
99308	Subsequent nursing facility care, per day, straightforward	<1%	57	$467.46
99397		<1%	13	$426.88
99458		<1%	61	$367.05
99232	Hospital visit by a doctor, follow-up day	<1%	23	$307.10
95012		<1%	37	$291.42
93040		<1%	754	$194.32
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	92	$160.14
99453		<1%	18	$106.88
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	146	$76.36
G0008	Administration of influenza virus vaccine	<1%	214	$71.50
36415	Collection of venous blood by venipuncture	<1%	22	$33.66
3008F		0%	716	$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 officialTHALODY, USA (MEMBER)