Physician
Gmed Healthcare PC
Gmed Healthcare PC was paid $2.59M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.
33Billing provider infoGMED HEALTHCARE PC
CLIFTON, NJ 07013
CLIFTON, NJ 07013
33aNPI1508169160assigned 12/20/2010
33bProvider typeFamily Medicine Physician
28Total paid$2.59M
24GClaims187,329
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#13 of 414
Median peer was paid$28K
This provider vs. median92×
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 | 8,068 | $247K | |
| 2019 | 10,225 | $284K | |
| 2020 | 12,645 | $253K | |
| 2021 | 16,036 | $326K | |
| 2022 | 39,257 | $456K | |
| 2023 | 49,382 | $557K | |
| 2024incomplete | 51,716 | $462K |
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 | 86% | 30,322 | 24,508 | $2.22M |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 396 | 389 | $44K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.5% | 2,203 | 1,872 | $40K |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.5% | 2,873 | 2,735 | $39K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.4% | 2,991 | 2,739 | $36K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 2,035 | 845 | $34K |
| 93000 | 1.3% | 3,304 | 3,086 | $33K | |
| 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% | 213 | 206 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,602 | 1,508 | $18K |
| 90686 | <1% | 1,154 | 1,105 | $17K | |
| 99490 | Ccm add 20min | <1% | 4,313 | 3,843 | $13K |
| 99454 | <1% | 2,560 | 2,129 | $11K |
70 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 914 | $11K |
| 99497 | <1% | 366 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 74 | $8K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 48 | $3K |
| 90715 | <1% | 98 | $3K | |
| 82962 | <1% | 4,786 | $3K | |
| 90653 | <1% | 79 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 583 | $2K |
| 90656 | <1% | 106 | $2K | |
| 99441 | <1% | 90 | $1K | |
| 99457 | <1% | 643 | $1K | |
| 90694 | <1% | 86 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 59 | $968.74 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 39 | $914.68 |
| 99406 | <1% | 71 | $779.84 | |
| 99439 | <1% | 457 | $765.90 | |
| G0008 | Administration of influenza virus vaccine | <1% | 217 | $639.15 |
| 90688 | <1% | 50 | $610.09 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 43 | $431.35 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 67 | $360.47 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 85 | $353.36 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 265 | $243.75 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 13 | $125.83 |
| 99458 | <1% | 147 | $93.17 | |
| 96127 | <1% | 14 | $40.42 | |
| 99453 | <1% | 17 | $32.02 | |
| 99072 | <1% | 733 | $17.50 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 25,656 | $10.00 |
| 94760 | <1% | 14 | $5.68 | |
| 3008F | <1% | 14,914 | $3.00 | |
| 1159F | <1% | 15,622 | $2.00 | |
| 1160F | <1% | 15,572 | $2.00 | |
| 1170F | <1% | 4,286 | $1.00 | |
| 3044F | <1% | 2,490 | $1.00 | |
| 3061F | <1% | 1,246 | $1.00 | |
| 3079F | 0% | 2,318 | $0.00 | |
| 1101F | 0% | 1,053 | $0.00 | |
| 1125F | 0% | 1,504 | $0.00 | |
| 3014F | 0% | 206 | $0.00 | |
| 3074F | 0% | 4,446 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,687 | $0.00 |
| 3075F | 0% | 1,681 | $0.00 | |
| 1036F | 0% | 4,296 | $0.00 | |
| 4010F | 0% | 3,192 | $0.00 | |
| 0509F | 0% | 105 | $0.00 | |
| 1126F | 0% | 817 | $0.00 | |
| 1006F | 0% | 317 | $0.00 | |
| 3060F | 0% | 260 | $0.00 | |
| 1030F | 0% | 382 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 89 | $0.00 |
| 3017F | 0% | 143 | $0.00 | |
| 2023F | 0% | 278 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 1,273 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 33 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 14 | $0.00 |
| 3288F | 0% | 876 | $0.00 | |
| 3078F | 0% | 4,472 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,894 | $0.00 |
| 3051F | 0% | 803 | $0.00 | |
| 1090F | 0% | 2,696 | $0.00 | |
| 2022F | 0% | 954 | $0.00 | |
| 4040F | 0% | 143 | $0.00 | |
| 3077F | 0% | 366 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 136 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 745 | $0.00 |
| 1100F | 0% | 92 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 716 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 357 | $0.00 |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | 0% | 38 | $0.00 |
| 4004F | 0% | 31 | $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 officialGUPTA, VIKRAM (OWNER)