Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HUNTERDON SPECIALTY CARE, PC

NPI: 1477924819 · FLEMINGTON, NJ 08822 · Pulmonary Disease Physician · NPI assigned 10/12/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOFFMAN, GUY controls 13+ related entities in our dataset. Read more

$128K
Total Medicaid Paid
2,109
Total Claims
1,438
Beneficiaries
10
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHOFFMAN, GUY (CHIEF REVENUE OFFICER)
NPI Enumeration Date10/12/2015

Related Entities

Other providers sharing the same authorized official: HOFFMAN, GUY

ProviderCityStateTotal Paid
HUNTERDON MEDICAL CENTER FLEMINGTON NJ $684K
HUNTERDON PRIMARY CARE, PC FLEMINGTON NJ $507K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $505K
HUNTERDON SPECIALTY CARE, PC CLINTON NJ $372K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $195K
HUNTERDON PRIMARY CARE, PC HAMPTON NJ $145K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $135K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $125K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $86K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $75K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $71K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $6K
HUNTERDON SPECIALTY CARE, PC PHILLIPSBURG NJ $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 132 $15K
2019 417 $34K
2020 103 $5K
2021 262 $14K
2022 305 $13K
2023 563 $32K
2024 327 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 859 799 $72K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 339 138 $35K
99233 Prolong inpt eval add15 m 574 262 $12K
99232 Subsequent hospital care, per day, moderate complexity 210 112 $4K
99215 Prolong outpt/office vis 24 24 $3K
95800 42 42 $2K
94727 24 24 $363.27
94060 12 12 $246.47
94729 12 12 $119.54
99350 Prolong home eval add 15m 13 13 $0.00