Alteon Health New Jersey PC
Alteon Health New Jersey PC was paid $1.48M by Medicaid between Dec 2019 and Mar 2024, across 10 billing codes. Its largest line is 99285, emergency room visit (most serious) — 49% of everything it billed.
HOLMDEL, NJ 07733
Next to other Emergency Medicine Physician providers in New Jersey
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 825 | $29K | |
| 2020 | 10,430 | $246K | |
| 2021 | 12,299 | $361K | |
| 2022 | 15,666 | $346K | |
| 2023 | 10,611 | $404K | |
| 2024incomplete | 2,744 | $95K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 49% | 14,356 | 13,435 | $727K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 44% | 14,522 | 13,780 | $648K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.8% | 2,844 | 2,656 | $86K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 245 | 201 | $13K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 6,238 | 5,586 | $7K |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 3,804 | 3,625 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 415 | 406 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 7,218 | 6,780 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 2,573 | 2,426 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 360 | 338 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Alteon Health New Mexico LLC | Hobbs, NM | $11.93M |
| Alteon Health Alabama, LLC | Talladega, AL | $8.36M |
| Mahoning Valley Emergency Specialists LLC | Youngstown, OH | $7.69M |
| Island Emergency Medical Services, P.C. | Far Rockaway, NY | $7.30M |
| 4M Monroe Medical Services PLLC | Adrian, MI | $6.44M |
| Mves Boardman LLC | Youngstown, OH | $5.99M |
| Mves Austintown LLC | Austintown, OH | $3.29M |
| Island Medical Alabama LLC | Cullman, AL | $3.05M |
| JMH Emergency Physicians | Ranson, WV | $2.60M |
| 4M Emergency Systems Tod LLC | Warren, OH | $2.25M |
| Mission Viejo Emergency Medical Associates, INC. | Laguna Beach, CA | $881K |
| Alteon Health Indiana LLC | Frankfort, IN | $756K |
| Island Medical Hospitalist Lea LLC | Hobbs, NM | $128K |
| Alteon Health New Jersey HM PC | Holmdel, NJ | $99K |
| Utah Regional Hospitalists LLC | Idaho Falls, ID | $10K |
| Usacs Observation Medicine Services of Colorado, INC | Golden, CO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.