Physician
Emelle, Emmanuel
Emelle, Emmanuel was paid $599K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoEMELLE, EMMANUEL
IRVINGTON, NJ 07111
IRVINGTON, NJ 07111
33aNPI1558343756assigned 11/15/2005
33bProvider typePediatrics Physician
28Total paid$599K
24GClaims18,510
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#160 of 549
Median peer was paid$154K
This provider vs. median3.9×
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 | 2,911 | $101K | |
| 2019 | 2,878 | $101K | |
| 2020 | 2,083 | $71K | |
| 2021 | 2,242 | $75K | |
| 2022 | 3,095 | $89K | |
| 2023 | 2,985 | $93K | |
| 2024incomplete | 2,316 | $69K |
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 | 22% | 4,440 | 4,189 | $133K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 5,147 | 5,016 | $104K |
| 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 | 17% | 2,159 | 2,090 | $104K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 1,314 | 1,312 | $81K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 941 | 937 | $60K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 931 | 927 | $56K |
| 90461 | 2.8% | 1,190 | 1,152 | $17K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 160 | 160 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 340 | 331 | $6K |
| 99205 | Prolong outpt/office vis | 1.0% | 51 | 51 | $6K |
| 90686 | <1% | 1,032 | 1,022 | $4K | |
| 99460 | <1% | 44 | 44 | $4K |
17 more codes
| 90734 | <1% | 99 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 45 | $2K |
| 99462 | <1% | 65 | $2K | |
| 90677 | <1% | 13 | $1K | |
| 90651 | <1% | 12 | $862.62 | |
| 90674 | <1% | 117 | $735.46 | |
| 90661 | <1% | 45 | $551.65 | |
| 90670 | <1% | 60 | $484.42 | |
| 90656 | <1% | 48 | $399.92 | |
| 90716 | <1% | 15 | $302.46 | |
| 90633 | <1% | 148 | $210.58 | |
| 90715 | <1% | 13 | $118.65 | |
| 90713 | <1% | 14 | $81.28 | |
| 90648 | 0% | 12 | $0.00 | |
| 0072A | 0% | 18 | $0.00 | |
| 91307 | 0% | 22 | $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.