Medicaid Provider Spending

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

PROHEALTH URGENT CARE MEDICINE OF NEW JERSEY LLP

NPI: 1477927754 · EDGEWATER, NJ 07020 · Emergency Care Clinic/Center · NPI assigned 11/24/2015

$35.97M
Total Medicaid Paid
289,479
Total Claims
273,047
Beneficiaries
40
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPELLMAN, ELLIOTT (GENERAL PARTNER)
NPI Enumeration Date11/24/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 114 $12K
2019 26 $320.00
2020 25,119 $2.75M
2021 69,365 $9.45M
2022 78,987 $9.47M
2023 75,662 $9.23M
2024 40,206 $5.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 138,010 128,098 $17.65M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46,486 44,387 $5.99M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41,945 40,876 $5.21M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28,439 26,331 $3.76M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17,405 17,194 $2.28M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,424 7,211 $916K
99215 Prolong outpt/office vis 844 815 $98K
99201 300 300 $43K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 92 91 $13K
99205 Prolong outpt/office vis 53 53 $6K
10060 16 16 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 559 484 $2K
0011A 91 90 $965.58
0012A 36 35 $823.31
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,538 1,458 $793.75
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 669 338 $783.45
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,031 912 $638.92
S9083 Global fee urgent care centers 835 717 $132.50
81003 1,344 1,301 $103.00
93000 184 184 $0.00
91301 64 62 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 117 114 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 292 287 $0.00
Q4049 Finger splint, static 41 41 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 98 98 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 80 79 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 119 118 $0.00
36415 Collection of venous blood by venipuncture 15 15 $0.00
73562 80 80 $0.00
82947 75 73 $0.00
73080 12 12 $0.00
73610 141 141 $0.00
73110 78 78 $0.00
73140 24 24 $0.00
73130 99 99 $0.00
73030 30 30 $0.00
71046 Radiologic examination, chest; 2 views 119 118 $0.00
90714 79 79 $0.00
81025 453 448 $0.00
73630 162 160 $0.00