Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PULMONARY AND CRITICAL CARE ASSOCIATES OF NEW JERSEY

NPI: 1417372251 · HALEDON, NJ 07508 · Internal Medicine Physician · NPI assigned 03/04/2014

$673K
Total Medicaid Paid
14,286
Total Claims
6,515
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALBERAQDAR, ENIS (DOCTOR/OWNER)
NPI Enumeration Date03/04/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,258 $81K
2019 1,320 $68K
2020 926 $62K
2021 1,358 $64K
2022 2,048 $126K
2023 3,902 $145K
2024 3,474 $126K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 6,591 2,466 $378K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,227 1,136 $73K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,986 272 $64K
99222 Initial hospital care, per day, moderate complexity 1,236 1,123 $49K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 850 761 $38K
99233 Prolong inpt eval add15 m 1,642 163 $31K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 174 46 $18K
95806 201 184 $8K
99223 Prolong inpt eval add15 m 149 136 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $2K
99254 25 25 $2K
90674 60 59 $1K
94729 15 15 $501.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 31 $471.44
99238 Hospital discharge day management, 30 minutes or less 12 12 $444.15
94727 15 15 $370.01
94010 15 15 $229.52
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 15 $80.63
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 15 15 $15.00