Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Edwin Constantino MD LLC

Edwin Constantino MD LLC was paid $297K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.

33Billing provider infoEDWIN CONSTANTINO MD LLC
JERSEY CITY, NJ 07306
33aNPI1548438039assigned 02/19/2008
28Total paid$297K
24GClaims6,495
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in New Jersey

Rank by total paid#8 of 91
Median peer was paid$5K
This provider vs. median64×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018730$47K
2019830$57K
2020572$36K
2021947$56K
20221,398$56K
20231,304$39K
2024incomplete714$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 96% 4,586 3,637 $286K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.9% 126 116 $6K
99072 <1% 1,163 1,053 $2K
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% 16 16 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 604 547 $2K

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 officialCONSTANTINO, EDWIN (OWNER)