PHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY

NPI: 1417393943 · MOUNT LAUREL, NJ 08054 · Adult Medicine Physician · NPI assigned 05/10/2013

$13K

Total Medicaid Paid

3,380

Total Claims

3,121

Beneficiaries

Codes Billed

2018-01

First Month

2022-10

Last Month

Provider Details

Authorized Official	LEE, THOMAS (OWNER)
NPI Enumeration Date	05/10/2013

Other providers sharing the same authorized official: LEE, THOMAS

Provider	City	State	Total Paid
THOMAS TUAN TONG LEE MD INC	MONTCLAIR	CA	$348K
THOMAS W LEE MD INC	UPLAND	CA	$166K
GALILEO MEDICAL PC	NEW YORK	NY	$117K
PALO ALTO COUNTY HOSPITAL	EMMETSBURG	IA	$56K
THOMAS C. LEE M.D. INC.	CITY OF INDUSTRY	CA	$7K
ACUPUNCTURE AND BALANCED WELLNESS, INC.	LANCASTER	CA	$6K

Code	Description	Claims	Beneficiaries	Total Paid
99350	Prolong home eval add 15m	1,784	1,678	$7K
99349		319	305	$4K
99337		664	626	$2K
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	122	64	$46.17
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	176	138	$34.03
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	13	13	$17.83
90674		55	55	$2.84
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	175	$0.00
G0008	Administration of influenza virus vaccine	55	55	$0.00
90694		12	12	$0.00