Clinic
Prudentmd LLC
Prudentmd LLC was paid $163K by Medicaid between Jan 2018 and Sep 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoPRUDENTMD LLC
ISELIN, NJ 08830
ISELIN, NJ 08830
33aNPI1457524217assigned 04/11/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$163K
24GClaims4,883
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#46 of 130
Median peer was paid$86K
This provider vs. median1.9×
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 | 453 | $18K | |
| 2019 | 551 | $22K | |
| 2020 | 764 | $26K | |
| 2021 | 931 | $34K | |
| 2022 | 655 | $22K | |
| 2023 | 930 | $26K | |
| 2024incomplete | 599 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 65% | 2,485 | 2,217 | $106K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 1,157 | 1,026 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 327 | 306 | $4K |
| 90686 | 2.0% | 274 | 266 | $3K | |
| 93000 | 2.0% | 306 | 297 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.9% | 51 | 51 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 49 | 40 | $2K |
| 99401 | <1% | 12 | 12 | $221.97 | |
| 90656 | <1% | 24 | 15 | $38.02 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | 15 | $29.90 |
| 99457 | 0% | 80 | 65 | $0.00 | |
| 99454 | 0% | 39 | 36 | $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 officialPATEL, MAITRI (PHYSICIAN OWNER)