Physician
ST. Joseph's Healthcare, INC.
ST. Joseph's Healthcare, INC. was paid $31.77M by Medicaid between Jan 2018 and Dec 2024, across 279 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoST. JOSEPH'S HEALTHCARE, INC.
PATERSON, NJ 07503
PATERSON, NJ 07503
33aNPI1497791297assigned 06/21/2006
33bProvider typeInternal Medicine Physician
28Total paid$31.77M
24GClaims707,837
24DCodes billed279
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#3 of 1,027
Median peer was paid$30K
This provider vs. median1,068×
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 | 108,804 | $6.28M | |
| 2019 | 98,418 | $6.10M | |
| 2020 | 92,159 | $5.55M | |
| 2021 | 96,040 | $5.86M | |
| 2022 | 120,436 | $6.16M | |
| 2023 | 23,390 | $861K | |
| 2024incomplete | 168,590 | $965K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 92,784 | 80,894 | $5.23M |
| 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 | 15% | 55,796 | 52,672 | $4.61M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 10% | 27,850 | 11,505 | $3.29M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 5.6% | 26,411 | 25,601 | $1.79M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.3% | 42,090 | 15,751 | $1.37M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.8% | 5,052 | 3,844 | $891K |
| 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 | 2.4% | 6,706 | 6,210 | $760K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.3% | 19,153 | 8,084 | $733K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 7,963 | 7,827 | $656K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 4,766 | 4,390 | $593K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.6% | 10,747 | 8,969 | $521K |
| 88342 | 1.6% | 13,373 | 13,055 | $503K |
267 more codes
| 76818 | 1.5% | 8,458 | $487K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.5% | 12,347 | $484K |
| 59514 | 1.5% | 748 | $482K | |
| 88307 | 1.5% | 5,977 | $480K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.4% | 4,707 | $445K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.3% | 10,112 | $428K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.3% | 801 | $416K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 5,403 | $389K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 5,423 | $387K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 4,420 | $365K |
| 99205 | Prolong outpt/office vis | 1.1% | 2,444 | $364K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.1% | 2,296 | $360K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 12,944 | $336K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.0% | 15,386 | $323K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 1.0% | 884 | $320K |
| 97803 | <1% | 3,849 | $218K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 5,920 | $217K |
| 88313 | <1% | 11,869 | $213K | |
| 10060 | <1% | 1,965 | $213K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,480 | $207K |
| 17110 | <1% | 1,844 | $180K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 6,172 | $162K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 1,794 | $143K |
| 90837 | Psychotherapy session, about an hour | <1% | 5,094 | $141K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,949 | $138K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,296 | $136K |
| 76813 | <1% | 2,047 | $119K | |
| 99245 | <1% | 581 | $118K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,039 | $113K |
| 76820 | <1% | 3,794 | $90K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 753 | $89K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,674 | $86K |
| 94010 | <1% | 4,055 | $85K | |
| 99243 | <1% | 817 | $84K | |
| 99292 | <1% | 2,380 | $83K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 1,981 | $83K |
| 88304 | <1% | 5,619 | $82K | |
| 99471 | <1% | 111 | $81K | |
| 95720 | <1% | 438 | $78K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 1,728 | $74K |
| 95886 | <1% | 1,144 | $70K | |
| 99221 | <1% | 1,553 | $68K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 757 | $67K |
| 99219 | <1% | 1,134 | $67K | |
| 76801 | <1% | 1,116 | $66K | |
| 99217 | <1% | 1,879 | $65K | |
| 99236 | Prolong inpt eval add15 m | <1% | 523 | $60K |
| 95782 | <1% | 453 | $54K | |
| 97802 | <1% | 613 | $54K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 474 | $53K |
| 99220 | <1% | 577 | $48K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,797 | $47K |
| 88341 | <1% | 633 | $43K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 502 | $37K |
| 99441 | <1% | 1,222 | $36K | |
| 95951 | <1% | 96 | $33K | |
| 95719 | <1% | 208 | $30K | |
| 99497 | <1% | 1,236 | $30K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,459 | $25K |
| 95816 | <1% | 938 | $24K | |
| 54150 | <1% | 182 | $23K | |
| 88112 | <1% | 784 | $21K | |
| 76821 | <1% | 651 | $21K | |
| 59515 | <1% | 22 | $19K | |
| 95908 | <1% | 373 | $19K | |
| 95117 | <1% | 1,810 | $19K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,734 | $19K |
| 95813 | <1% | 213 | $18K | |
| 99476 | <1% | 77 | $18K | |
| 11901 | <1% | 256 | $15K | |
| 96127 | <1% | 3,760 | $15K | |
| 99442 | <1% | 436 | $15K | |
| 11102 | <1% | 189 | $14K | |
| 99498 | <1% | 629 | $14K | |
| 31575 | <1% | 175 | $13K | |
| 94726 | <1% | 1,552 | $13K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,325 | $13K |
| 95910 | <1% | 138 | $12K | |
| 99218 | <1% | 212 | $12K | |
| 94729 | <1% | 1,591 | $11K | |
| 88312 | <1% | 430 | $11K | |
| 95822 | <1% | 408 | $10K | |
| 99385 | <1% | 81 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 737 | $9K |
| 99254 | <1% | 64 | $9K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 570 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 256 | $8K |
| 11100 | <1% | 101 | $8K | |
| 85390 | <1% | 312 | $7K | |
| 94664 | <1% | 516 | $7K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 37 | $7K |
| 10040 | <1% | 215 | $7K | |
| 85576 | <1% | 245 | $6K | |
| 86769 | <1% | 328 | $6K | |
| 81025 | <1% | 5,020 | $6K | |
| 94060 | <1% | 488 | $5K | |
| 95953 | <1% | 25 | $5K | |
| 99307 | <1% | 586 | $5K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 170 | $4K |
| 93790 | <1% | 324 | $4K | |
| 99443 | <1% | 91 | $4K | |
| 90723 | <1% | 176 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 708 | $4K |
| 36556 | <1% | 92 | $3K | |
| 90686 | <1% | 1,158 | $3K | |
| 52332 | <1% | 12 | $3K | |
| 81002 | <1% | 5,934 | $3K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 142 | $3K |
| 91200 | <1% | 320 | $3K | |
| 90670 | <1% | 228 | $3K | |
| 95819 | <1% | 114 | $3K | |
| 96040 | <1% | 245 | $3K | |
| 99381 | <1% | 40 | $3K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 16 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 17,474 | $2K |
| 88311 | <1% | 271 | $2K | |
| 99253 | <1% | 24 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 24,388 | $2K |
| 92201 | <1% | 157 | $2K | |
| 36555 | <1% | 14 | $2K | |
| 87150 | <1% | 218 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,011 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 8,863 | $2K |
| 76937 | <1% | 350 | $2K | |
| 90620 | <1% | 61 | $1K | |
| 98960 | <1% | 182 | $1K | |
| 99235 | <1% | 12 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 113 | $1K |
| 92015 | Determination of refractive state | <1% | 59 | $1K |
| 99284 | Emergency room visit (serious) | <1% | 12 | $1K |
| 82962 | <1% | 17,436 | $1K | |
| 83735 | <1% | 10,818 | $1K | |
| 90756 | <1% | 118 | $958.94 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 1,477 | $753.23 |
| 96132 | <1% | 12 | $701.07 | |
| 96160 | <1% | 1,150 | $673.65 | |
| 92225 | <1% | 28 | $640.18 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 76 | $631.76 |
| 99078 | <1% | 112 | $571.93 | |
| 84484 | <1% | 3,670 | $570.13 | |
| 90474 | <1% | 72 | $540.64 | |
| 84100 | <1% | 9,234 | $517.35 | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 667 | $507.79 |
| 99225 | <1% | 17 | $487.16 | |
| 94727 | <1% | 16 | $470.85 | |
| 99417 | Prolong home eval add 15m | <1% | 222 | $398.40 |
| 96139 | <1% | 12 | $334.10 | |
| 95017 | <1% | 35 | $328.82 | |
| 99024 | <1% | 2,351 | $272.00 | |
| 85610 | <1% | 3,115 | $238.93 | |
| 93018 | <1% | 15 | $223.41 | |
| 96138 | <1% | 12 | $217.13 | |
| 80329 | <1% | 167 | $216.26 | |
| 88300 | <1% | 41 | $211.42 | |
| 85730 | <1% | 2,795 | $197.11 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $190.21 |
| 87641 | <1% | 1,395 | $182.14 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,446 | $181.85 |
| 81001 | <1% | 6,351 | $155.36 | |
| 85027 | <1% | 3,524 | $152.33 | |
| 88141 | <1% | 18 | $150.30 | |
| 81003 | <1% | 2,064 | $143.56 | |
| 80320 | <1% | 975 | $136.32 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 3,090 | $127.93 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 348 | $127.48 |
| 90674 | <1% | 13 | $119.24 | |
| 80061 | Lipid panel | <1% | 1,155 | $107.58 |
| 90685 | <1% | 57 | $93.94 | |
| 83690 | <1% | 2,329 | $86.19 | |
| 90656 | <1% | 19 | $85.05 | |
| 90633 | <1% | 13 | $81.84 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 69 | $79.98 |
| 90700 | <1% | 12 | $77.68 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 674 | $71.64 |
| 84145 | <1% | 778 | $68.62 | |
| 82550 | <1% | 680 | $61.33 | |
| 87070 | <1% | 1,822 | $54.20 | |
| 73130 | <1% | 23 | $52.46 | |
| 51798 | <1% | 16 | $51.60 | |
| 83880 | <1% | 630 | $47.55 | |
| 82607 | <1% | 834 | $46.52 | |
| 82728 | <1% | 1,149 | $40.01 | |
| 87632 | <1% | 213 | $37.07 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 673 | $36.58 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 673 | $36.58 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,287 | $36.11 |
| 94760 | <1% | 62 | $35.12 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 787 | $34.13 |
| 82746 | <1% | 517 | $29.63 | |
| 90647 | <1% | 87 | $28.23 | |
| 80202 | <1% | 449 | $27.22 | |
| 84702 | <1% | 882 | $24.98 | |
| 87040 | <1% | 932 | $19.30 | |
| 83605 | <1% | 991 | $15.10 | |
| 99070 | <1% | 208 | $14.85 | |
| 84156 | <1% | 209 | $14.70 | |
| 83540 | <1% | 1,210 | $14.40 | |
| 84703 | <1% | 2,098 | $13.40 | |
| 84478 | <1% | 432 | $13.00 | |
| 87430 | <1% | 378 | $10.50 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 2,015 | $10.00 |
| 87106 | <1% | 108 | $8.50 | |
| 87205 | <1% | 902 | $6.82 | |
| 83970 | <1% | 45 | $5.95 | |
| 87186 | <1% | 878 | $5.88 | |
| 85347 | <1% | 174 | $5.82 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 597 | $5.03 |
| 84439 | <1% | 601 | $4.59 | |
| 85520 | <1% | 252 | $4.46 | |
| 87077 | <1% | 855 | $4.12 | |
| 82140 | <1% | 113 | $4.08 | |
| 86160 | <1% | 17 | $4.08 | |
| 86140 | <1% | 830 | $3.76 | |
| 82274 | <1% | 42 | $3.43 | |
| 82247 | <1% | 1,697 | $3.00 | |
| 80076 | <1% | 808 | $2.78 | |
| 85651 | <1% | 746 | $2.73 | |
| 86803 | <1% | 201 | $2.43 | |
| 86592 | <1% | 872 | $2.11 | |
| 83615 | <1% | 805 | $2.05 | |
| 84300 | <1% | 130 | $2.00 | |
| 89051 | <1% | 94 | $1.90 | |
| 87116 | <1% | 18 | $1.84 | |
| 85379 | <1% | 319 | $1.70 | |
| 87088 | <1% | 430 | $1.38 | |
| 87184 | <1% | 94 | $1.27 | |
| 83930 | <1% | 93 | $1.12 | |
| 84133 | <1% | 52 | $1.00 | |
| 85660 | <1% | 174 | $1.00 | |
| 82436 | <1% | 50 | $1.00 | |
| 87206 | <1% | 19 | $0.92 | |
| 84157 | <1% | 59 | $0.68 | |
| 82945 | <1% | 42 | $0.67 | |
| 86703 | 0% | 709 | $0.00 | |
| 82977 | 0% | 84 | $0.00 | |
| 0502F | 0% | 575 | $0.00 | |
| 87102 | 0% | 14 | $0.00 | |
| 84550 | 0% | 348 | $0.00 | |
| 80164 | 0% | 18 | $0.00 | |
| 82570 | 0% | 304 | $0.00 | |
| 85014 | 0% | 616 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 210 | $0.00 |
| 82947 | 0% | 33 | $0.00 | |
| 82009 | 0% | 122 | $0.00 | |
| 87075 | 0% | 284 | $0.00 | |
| 85460 | 0% | 83 | $0.00 | |
| 85384 | 0% | 262 | $0.00 | |
| 80299 | 0% | 77 | $0.00 | |
| 85044 | 0% | 1,259 | $0.00 | |
| 82248 | 0% | 1,873 | $0.00 | |
| 82397 | 0% | 70 | $0.00 | |
| 82784 | 0% | 72 | $0.00 | |
| 87541 | 0% | 209 | $0.00 | |
| 84132 | 0% | 71 | $0.00 | |
| 86762 | 0% | 63 | $0.00 | |
| G8708 | Patient not prescribed antibiotic | 0% | 339 | $0.00 |
| 86141 | 0% | 127 | $0.00 | |
| 82043 | 0% | 67 | $0.00 | |
| 87147 | 0% | 30 | $0.00 | |
| 87581 | 0% | 209 | $0.00 | |
| 83935 | 0% | 22 | $0.00 | |
| 82150 | 0% | 117 | $0.00 | |
| 82533 | 0% | 17 | $0.00 | |
| 87081 | 0% | 14 | $0.00 | |
| 90651 | 0% | 14 | $0.00 | |
| 86710 | 0% | 12 | $0.00 | |
| 87522 | Neg quan hep c or qual rna | 0% | 18 | $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 officialALWELL, MICHAEL (CFO/ VP OF PHYSICIAN ENTERPRISE)
| Provider | Location | Paid |
|---|---|---|
| ST. Joseph's Emergency Physicians INC | Paterson, NJ | $24.13M |
| ST Josephs Medical Group PC | Paterson, NJ | $10.11M |
| ST. Josephs Physicians Healthcare Group INC | Paterson, NJ | $2.15M |
| Radiation Oncology Group at SBMC | West Orange, NJ | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.