NJ Med, PA

NJ Med, PA was paid $210K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 60% of everything it billed.

33Billing provider infoNJ MED, PA
ELIZABETH, NJ 07202

33aNPI1548343973assigned 10/21/2006

33bProvider typeExclusive Provider Organization

28Total paid$210K

24GClaims6,132

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Exclusive Provider Organization providers in New Jersey

Rank by total paid#6 of 13

Median peer was paid$159K

This provider vs. median1.3×

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	333	$16K
2019	496	$22K
2020	652	$28K
2021	698	$29K
2022	1,121	$37K
2023	1,711	$40K
2024incomplete	1,121	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	60%	2,971	2,615	$127K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	1,415	1,096	$44K
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%	916	790	$32K
93000		1.9%	644	543	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	105	98	$1K
90661		<1%	43	41	$640.89
94060		<1%	14	14	$543.40
90756		<1%	12	12	$27.00
G0008	Administration of influenza virus vaccine	<1%	12	12	$8.75

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 officialSHAUGHNESSY, VIVIAN (OFFICE MANAGER)