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

Practice Associates Medical Group

Practice Associates Medical Group was paid $49.14M by Medicaid between Jan 2018 and Dec 2024, across 242 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoPRACTICE ASSOCIATES MEDICAL GROUP
MORRISTOWN, NJ 07960
33aNPI1427016385assigned 05/02/2006
33bProvider typeSocial Worker
28Total paid$49.14M
24GClaims1,145,594
24DCodes billed242
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Social Worker providers in New Jersey

Rank by total paid#1 of 28
Median peer was paid$294K
This provider vs. median167×

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$1.0M$1.5M2018201920202021202220232024
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
201881,154$4.05M
2019105,282$5.15M
202094,690$4.50M
2021144,756$7.48M
2022229,704$9.23M
2023275,665$10.85M
2024incomplete214,343$7.88M
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 33% 268,869 237,755 $16.03M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 257,191 227,330 $13.35M
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 6.7% 37,923 34,556 $3.29M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.9% 55,757 22,929 $1.44M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.8% 18,221 16,909 $1.38M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.8% 65,239 25,964 $1.36M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.7% 24,247 20,868 $1.30M
99244 Office or other outpatient consultation, moderate to high complexity 2.1% 7,159 7,111 $1.02M
99223 Prolong inpt eval add15 m 1.5% 15,174 12,885 $726K
20610 1.0% 10,364 6,790 $504K
31231 1.0% 5,670 5,082 $499K
93000 <1% 30,401 27,899 $484K
230 more codes
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,385 $449K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 4,347 $405K
99243 <1% 3,311 $368K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 9,650 $358K
64483 <1% 1,658 $332K
99308 Subsequent nursing facility care, per day, straightforward <1% 23,849 $319K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 8,010 $302K
99239 Hospital discharge day management, more than 30 minutes <1% 6,952 $239K
99205 Prolong outpt/office vis <1% 2,367 $217K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 528 $200K
31579 <1% 1,419 $200K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 31,426 $186K
94060 <1% 6,790 $184K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 7,432 $177K
20611 <1% 2,660 $177K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 9,731 $172K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 2,004 $170K
69210 <1% 6,417 $163K
97803 <1% 5,700 $157K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 11,787 $150K
95800 <1% 3,494 $139K
64484 <1% 1,397 $134K
99460 <1% 1,647 $132K
99238 Hospital discharge day management, 30 minutes or less <1% 2,707 $131K
95886 <1% 1,116 $96K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,875 $96K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,555 $82K
62323 <1% 465 $80K
36415 Collection of venous blood by venipuncture <1% 20,914 $71K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 375 $70K
99245 <1% 493 $70K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 11,719 $68K
90682 <1% 1,766 $65K
97802 <1% 1,375 $63K
73562 <1% 2,957 $62K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 933 $62K
43775 <1% 106 $57K
99222 Initial hospital care, per day, moderate complexity <1% 1,428 $56K
73564 <1% 2,283 $52K
75574 <1% 780 $51K
90674 <1% 2,601 $50K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 920 $50K
31575 <1% 544 $48K
93298 <1% 2,745 $45K
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% 8,010 $40K
51701 <1% 768 $35K
64615 <1% 393 $33K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose <1% 1,629 $33K
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% 1,805 $28K
87428 <1% 678 $28K
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg <1% 198 $25K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 91 $24K
99220 <1% 491 $24K
73630 <1% 1,210 $22K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 370 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,282 $19K
90677 <1% 140 $19K
73610 <1% 899 $18K
51798 <1% 1,228 $18K
81025 <1% 3,123 $17K
20550 <1% 479 $16K
64721 <1% 46 $16K
46600 <1% 363 $16K
20552 <1% 446 $16K
99442 <1% 1,116 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 292 $15K
99385 <1% 214 $15K
99386 <1% 171 $14K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,440 $14K
99497 <1% 394 $14K
90686 <1% 1,565 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,061 $12K
45300 <1% 223 $12K
93016 <1% 1,214 $11K
99307 <1% 1,684 $11K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 2,011 $11K
73560 <1% 496 $11K
72100 <1% 402 $10K
99242 <1% 97 $10K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 315 $10K
77427 <1% 75 $10K
98929 <1% 263 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 687 $9K
99221 <1% 309 $9K
72170 <1% 563 $9K
93018 <1% 371 $9K
73030 <1% 455 $8K
95909 <1% 80 $8K
94010 <1% 726 $8K
54161 <1% 59 $8K
25600 <1% 25 $8K
47562 <1% 12 $7K
95251 <1% 466 $7K
90673 <1% 228 $7K
81003 <1% 8,563 $7K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 115 $7K
96112 <1% 74 $6K
90670 <1% 465 $6K
62321 <1% 33 $6K
75561 <1% 62 $6K
76942 <1% 141 $6K
81001 <1% 1,996 $6K
98928 <1% 175 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 245 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 47 $5K
73600 <1% 305 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 381 $4K
73110 <1% 206 $4K
81002 <1% 3,474 $4K
99217 <1% 110 $4K
77014 <1% 63 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 67 $4K
90461 <1% 186 $3K
99306 Prolong nursin fac eval 15m <1% 90 $3K
90651 <1% 12 $3K
99305 <1% 112 $3K
93325 <1% 578 $3K
J1010 Injection, methylprednisolone acetate, 1 mg <1% 378 $3K
54162 <1% 37 $3K
0031A <1% 96 $3K
94729 <1% 176 $3K
91200 <1% 105 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 40 $3K
99401 <1% 100 $3K
96111 <1% 28 $3K
90697 <1% 35 $3K
99441 <1% 558 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 13 $2K
99462 <1% 83 $2K
90688 <1% 134 $2K
73502 <1% 127 $2K
90661 <1% 198 $2K
90839 <1% 219 $2K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 280 $2K
93970 <1% 87 $2K
93320 <1% 135 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,281 $2K
95911 <1% 15 $2K
93297 <1% 122 $2K
94664 <1% 218 $2K
95910 <1% 14 $2K
77334 <1% 20 $2K
G0444 Annual depression screening, 5 to 15 minutes <1% 156 $2K
90662 <1% 207 $2K
95782 <1% 16 $2K
51702 <1% 31 $2K
36410 <1% 142 $2K
96040 <1% 159 $2K
96127 <1% 316 $2K
99493 <1% 115 $2K
99443 <1% 62 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 208 $1K
72114 <1% 46 $1K
90671 <1% 17 $1K
77002 <1% 119 $1K
59025 Fetal non-stress test <1% 32 $1K
94726 <1% 85 $1K
58100 <1% 14 $1K
73130 <1% 63 $1K
0071A <1% 29 $1K
94727 <1% 56 $1K
99417 Prolong home eval add 15m <1% 73 $1K
93294 <1% 98 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 84 $1K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 17 $956.21
73140 <1% 69 $935.29
93296 <1% 155 $876.46
93299 <1% 47 $822.61
98926 <1% 32 $818.21
0072A <1% 19 $768.14
87430 <1% 186 $724.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 364 $564.67
72081 <1% 28 $524.00
99219 <1% 21 $502.07
90715 <1% 12 $496.92
77073 <1% 16 $463.35
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass <1% 44 $417.61
90633 <1% 59 $368.33
Q4050 Cast supplies, for unlisted types and materials of casts <1% 92 $336.00
90658 <1% 30 $320.40
99406 <1% 38 $312.41
96161 <1% 116 $294.86
93971 <1% 17 $294.63
93295 <1% 12 $292.05
G0008 Administration of influenza virus vaccine <1% 793 $273.60
73100 <1% 13 $261.02
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 15 $253.91
90647 <1% 228 $248.62
36416 <1% 1,963 $228.72
99283 Emergency room visit (moderate) <1% 18 $226.57
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 28 $209.86
90723 <1% 163 $207.94
95816 <1% 15 $206.21
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 51 $200.39
90680 <1% 193 $187.38
82962 <1% 297 $160.16
3074F <1% 12,556 $148.54
99000 <1% 2,914 $135.72
90694 <1% 13 $134.48
3078F <1% 10,146 $123.85
90698 <1% 28 $106.18
84703 <1% 16 $87.41
94760 <1% 126 $42.30
3079F <1% 1,451 $34.35
3044F <1% 773 $27.01
82270 <1% 37 $25.09
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 379 $14.00
3062F <1% 328 $13.00
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 23 $10.75
3075F <1% 167 $6.01
3077F <1% 83 $2.00
90656 <1% 103 $0.42
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 13,916 $0.00
1036F 0% 3,412 $0.00
3017F 0% 531 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 67 $0.00
91303 0% 17 $0.00
3061F 0% 26 $0.00
1101F 0% 25 $0.00
A4590 Special casting material (e.g., fiberglass) 0% 17 $0.00
G8482 Influenza immunization administered or previously received 0% 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 2,071 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 13,063 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 59 $0.00
4004F 0% 69 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 153 $0.00
77003 0% 62 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 134 $0.00
4040F 0% 30 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 12 $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 officialHERZOG, CHRISTOPHER (CHIEF OPERATING OFFICER)
Same official

Other billing entities under HERZOG, CHRISTOPHER

Full network →
ProviderLocationPaid
Specialty Care of Practice Associates,paMorristown, NJ$19K

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