Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › PATERSON › ST. JOSEPH'S HEALTHCARE, INC.

ST. JOSEPH'S HEALTHCARE, INC.

NPI: 1497791297 · PATERSON, NJ 07503 · Internal Medicine Physician · NPI assigned 06/21/2006

$31.77M
Total Medicaid Paid
707,837
Total Claims
535,668
Beneficiaries
279
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALWELL, MICHAEL (CFO/ VP OF PHYSICIAN ENTERPRISE)
NPI Enumeration Date06/21/2006

Related Entities

Other providers sharing the same authorized official: ALWELL, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 168,590 $965K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 92,784 80,894 $5.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55,796 52,672 $4.61M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 27,850 11,505 $3.29M
88305 Level IV - Surgical pathology, gross and microscopic examination 26,411 25,601 $1.79M
99232 Subsequent hospital care, per day, moderate complexity 42,090 15,751 $1.37M
90792 Psychiatric diagnostic evaluation with medical services 5,052 3,844 $891K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,706 6,210 $760K
99233 Prolong inpt eval add15 m 19,153 8,084 $733K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,963 7,827 $656K
99215 Prolong outpt/office vis 4,766 4,390 $593K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10,747 8,969 $521K
88342 13,373 13,055 $503K
76818 8,458 4,118 $487K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 12,347 10,712 $484K
59514 748 745 $482K
88307 5,977 5,868 $480K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,707 4,637 $445K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 10,112 9,313 $428K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 801 798 $416K
99223 Prolong inpt eval add15 m 5,403 5,034 $389K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,423 5,139 $387K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,420 4,324 $365K
99205 Prolong outpt/office vis 2,444 2,355 $364K
99244 Office or other outpatient consultation, moderate to high complexity 2,296 2,292 $360K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,944 11,733 $336K
99231 Subsequent hospital care, per day, straightforward or low complexity 15,386 5,594 $323K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 884 334 $320K
97803 3,849 3,817 $218K
76819 Fetal biophysical profile; without non-stress testing 5,920 3,810 $217K
88313 11,869 11,667 $213K
10060 1,965 1,940 $213K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,480 2,415 $207K
17110 1,844 1,581 $180K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,172 3,902 $162K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,794 1,733 $143K
90837 Psychotherapy, 53 minutes with patient 5,094 3,926 $141K
99222 Initial hospital care, per day, moderate complexity 1,949 1,852 $138K
99238 Hospital discharge day management, 30 minutes or less 3,296 2,990 $136K
76813 2,047 2,038 $119K
99245 581 581 $118K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,039 1,034 $113K
76820 3,794 2,029 $90K
95810 Polysomnography; sleep staging with 4 or more additional parameters 753 743 $89K
99239 Hospital discharge day management, more than 30 minutes 1,674 1,554 $86K
94010 4,055 3,880 $85K
99243 817 816 $84K
99292 2,380 1,420 $83K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 1,981 1,234 $83K
88304 5,619 5,539 $82K
99471 111 109 $81K
95720 438 239 $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 1,728 1,483 $74K
95886 1,144 1,109 $70K
99221 1,553 1,386 $68K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 757 738 $67K
99219 1,134 1,128 $67K
76801 1,116 1,093 $66K
99217 1,879 1,798 $65K
99236 Prolong inpt eval add15 m 523 502 $60K
95782 453 453 $54K
97802 613 608 $54K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 474 468 $53K
99220 577 550 $48K
90832 Psychotherapy, 30 minutes with patient 2,797 2,324 $47K
88341 633 592 $43K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 502 482 $37K
99441 1,222 1,108 $36K
95951 96 71 $33K
95719 208 205 $30K
99497 1,236 1,045 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,459 4,419 $25K
95816 938 892 $24K
54150 182 176 $23K
88112 784 755 $21K
76821 651 306 $21K
59515 22 17 $19K
95908 373 366 $19K
95117 1,810 1,134 $19K
90472 Immunization administration, each additional vaccine (list separately) 1,734 1,728 $19K
95813 213 211 $18K
99476 77 24 $18K
11901 256 248 $15K
96127 3,760 3,663 $15K
99442 436 422 $15K
11102 189 187 $14K
99498 629 560 $14K
31575 175 156 $13K
94726 1,552 1,484 $13K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,325 1,260 $13K
95910 138 138 $12K
99218 212 207 $12K
94729 1,591 1,521 $11K
88312 430 410 $11K
95822 408 368 $10K
99385 81 80 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 737 728 $9K
99254 64 63 $9K
99308 Subsequent nursing facility care, per day, straightforward 570 471 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 256 240 $8K
11100 101 100 $8K
85390 312 227 $7K
94664 516 458 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 37 37 $7K
10040 215 214 $7K
85576 245 179 $6K
86769 328 313 $6K
81025 5,020 4,668 $6K
94060 488 458 $5K
95953 25 25 $5K
99307 586 547 $5K
90853 Group psychotherapy (other than of a multiple-family group) 170 54 $4K
93790 324 321 $4K
99443 91 86 $4K
90723 176 176 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 708 679 $4K
36556 92 80 $3K
90686 1,158 1,153 $3K
52332 12 12 $3K
81002 5,934 4,664 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 142 135 $3K
91200 320 289 $3K
90670 228 228 $3K
95819 114 106 $3K
96040 245 237 $3K
99381 40 39 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 16 16 $3K
80053 Comprehensive metabolic panel 17,474 11,527 $2K
88311 271 265 $2K
99253 24 24 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,388 14,019 $2K
92201 157 139 $2K
36555 14 12 $2K
87150 218 189 $2K
36415 Collection of venous blood by venipuncture 1,011 895 $2K
80048 Basic metabolic panel (calcium, ionized) 8,863 3,669 $2K
76937 350 313 $2K
90620 61 61 $1K
98960 182 159 $1K
99235 12 12 $1K
90834 Psychotherapy, 45 minutes with patient 113 97 $1K
92015 Determination of refractive state 59 59 $1K
99284 Emergency department visit for the evaluation and management, high severity 12 12 $1K
82962 17,436 4,823 $1K
83735 10,818 3,462 $1K
90756 118 115 $958.94
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,477 1,337 $753.23
96132 12 12 $701.07
96160 1,150 1,077 $673.65
92225 28 27 $640.18
90791 Psychiatric diagnostic evaluation 76 71 $631.76
99078 112 91 $571.93
84484 3,670 3,127 $570.13
90474 72 72 $540.64
84100 9,234 2,572 $517.35
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 667 647 $507.79
99225 17 13 $487.16
94727 16 16 $470.85
99417 Prolong home eval add 15m 222 211 $398.40
96139 12 12 $334.10
95017 35 26 $328.82
99024 2,351 1,327 $272.00
85610 3,115 2,171 $238.93
93018 15 15 $223.41
96138 12 12 $217.13
80329 167 154 $216.26
88300 41 41 $211.42
85730 2,795 1,912 $197.11
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $190.21
87641 1,395 1,056 $182.14
84443 Thyroid stimulating hormone (TSH) 1,446 1,364 $181.85
81001 6,351 5,807 $155.36
85027 3,524 2,033 $152.33
88141 18 18 $150.30
81003 2,064 1,850 $143.56
80320 975 888 $136.32
87086 Culture, bacterial; quantitative colony count, urine 3,090 2,867 $127.93
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 348 340 $127.48
90674 13 13 $119.24
80061 Lipid panel 1,155 1,119 $107.58
90685 57 57 $93.94
83690 2,329 2,149 $86.19
90656 19 19 $85.05
90633 13 13 $81.84
G0463 Hospital outpatient clinic visit for assessment and management of a patient 69 60 $79.98
90700 12 12 $77.68
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 674 649 $71.64
84145 778 507 $68.62
82550 680 476 $61.33
87070 1,822 1,604 $54.20
73130 23 12 $52.46
51798 16 15 $51.60
83880 630 554 $47.55
82607 834 763 $46.52
82728 1,149 1,070 $40.01
87632 213 190 $37.07
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 673 649 $36.58
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 673 649 $36.58
83036 Hemoglobin; glycosylated (A1C) 1,287 1,247 $36.11
94760 62 43 $35.12
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 787 758 $34.13
82746 517 488 $29.63
90647 87 87 $28.23
80202 449 186 $27.22
84702 882 741 $24.98
87040 932 744 $19.30
83605 991 661 $15.10
99070 208 197 $14.85
84156 209 192 $14.70
83540 1,210 1,121 $14.40
84703 2,098 1,954 $13.40
84478 432 191 $13.00
87430 378 359 $10.50
G9744 Patient not eligible due to active diagnosis of hypertension 2,015 1,951 $10.00
87106 108 93 $8.50
87205 902 669 $6.82
83970 45 37 $5.95
87186 878 784 $5.88
85347 174 148 $5.82
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 597 574 $5.03
84439 601 563 $4.59
85520 252 60 $4.46
87077 855 759 $4.12
82140 113 73 $4.08
86160 17 12 $4.08
86140 830 616 $3.76
82274 42 40 $3.43
82247 1,697 678 $3.00
80076 808 617 $2.78
85651 746 667 $2.73
86803 201 188 $2.43
86592 872 836 $2.11
83615 805 645 $2.05
84300 130 116 $2.00
89051 94 73 $1.90
87116 18 17 $1.84
85379 319 283 $1.70
87088 430 386 $1.38
87184 94 83 $1.27
83930 93 46 $1.12
84133 52 48 $1.00
85660 174 170 $1.00
82436 50 46 $1.00
87206 19 17 $0.92
84157 59 44 $0.68
82945 42 29 $0.67
86703 709 679 $0.00
82977 84 77 $0.00
0502F 575 368 $0.00
87102 14 12 $0.00
84550 348 250 $0.00
80164 18 15 $0.00
82570 304 280 $0.00
85014 616 477 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 210 190 $0.00
82947 33 29 $0.00
82009 122 106 $0.00
87075 284 244 $0.00
85460 83 51 $0.00
85384 262 177 $0.00
80299 77 73 $0.00
85044 1,259 982 $0.00
82248 1,873 812 $0.00
82397 70 65 $0.00
82784 72 65 $0.00
87541 209 189 $0.00
84132 71 57 $0.00
86762 63 60 $0.00
G8708 Patient not prescribed antibiotic 339 334 $0.00
86141 127 124 $0.00
82043 67 66 $0.00
87147 30 27 $0.00
87581 209 189 $0.00
83935 22 20 $0.00
82150 117 107 $0.00
82533 17 15 $0.00
87081 14 14 $0.00
90651 14 14 $0.00
86710 12 12 $0.00
87522 Neg quan hep c or qual rna 18 16 $0.00