Njcri Physicians Group PC

Njcri Physicians Group PC was paid $200K by Medicaid between Oct 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoNJCRI PHYSICIANS GROUP PC
NEWARK, NJ 07103

33aNPI1487100657assigned 08/29/2016

33bProvider typeMental Health Counselor

28Total paid$200K

24GClaims7,255

24DCodes billed16

24AFirst – last monthOct 2018 – Nov 2024

Compared with peers

Next to other Mental Health Counselor providers in New Jersey

Rank by total paid#54 of 84

Median peer was paid$669K

This provider vs. median0.3×

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	12	$328.18
2019	192	$7K
2020	690	$29K
2021	730	$35K
2022	1,974	$50K
2023	1,876	$36K
2024incomplete	1,781	$42K

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	59%	2,619	2,235	$117K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	1,789	1,549	$52K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.5%	182	176	$11K
99441		3.7%	1,279	1,172	$7K
99442		3.0%	587	464	$6K
96127		<1%	497	474	$1K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	13	13	$993.88
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	49	47	$959.28
99443		<1%	56	50	$912.75
90686		<1%	30	30	$468.80
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	12	$362.70
99448		<1%	36	29	$253.44

4 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	31	$251.45
99447		<1%	34	$240.90
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	26	$156.98
99459		<1%	13	$116.87

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 officialEKWALL, SHAWN (ADMINISTRATOR)

Parent organizationNORTH JERSEY COMMUNITY RESEARCH INITIATIVE