Hunterdon Specialty Care, PC
Hunterdon Specialty Care, PC was paid $128K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
FLEMINGTON, NJ 08822
Next to other Pulmonary Disease 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 | |
|---|---|---|---|
| 2018 | 132 | $15K | |
| 2019 | 417 | $34K | |
| 2020 | 103 | $5K | |
| 2021 | 262 | $14K | |
| 2022 | 305 | $13K | |
| 2023 | 563 | $32K | |
| 2024incomplete | 327 | $15K |
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 | 56% | 859 | 799 | $72K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 27% | 339 | 138 | $35K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.1% | 574 | 262 | $12K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 210 | 112 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 24 | 24 | $3K |
| 95800 | 1.7% | 42 | 42 | $2K | |
| 94727 | <1% | 24 | 24 | $363.27 | |
| 94060 | <1% | 12 | 12 | $246.47 | |
| 94729 | <1% | 12 | 12 | $119.54 | |
| 99350 | Prolong home eval add 15m | 0% | 13 | 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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.