Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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North Haledon Medical, PC

North Haledon Medical, PC was paid $195K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 57% of everything it billed.

33Billing provider infoNORTH HALEDON MEDICAL, PC
WAYNE, NJ 07470
33aNPI1477624088assigned 11/13/2006
33bProvider typeSpecialist
28Total paid$195K
24GClaims15,407
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Specialist providers in New Jersey

Rank by total paid#139 of 378
Median peer was paid$63K
This provider vs. median3.1×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,258$21K
20191,290$21K
20202,259$28K
20212,610$36K
20222,681$34K
20233,102$36K
2024incomplete2,207$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99309 Subsequent nursing facility care, per day, low to moderate complexity 57% 9,875 4,116 $111K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 19% 2,093 608 $36K
99310 Prolong nursin fac eval 15m 15% 1,356 768 $30K
99308 Subsequent nursing facility care, per day, straightforward 7.3% 1,885 910 $14K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.6% 128 53 $3K
11043 <1% 55 25 $63.09
G0008 Administration of influenza virus vaccine 0% 15 13 $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 officialBARRAVECCHIO, ANTHONY (DELEGATED OFFICIAL)