Diabetes Associates P C
Diabetes Associates P C was paid $356K by Medicaid between Jan 2018 and Feb 2023, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoDIABETES ASSOCIATES P C
BELLEVILLE, NJ 07109
BELLEVILLE, NJ 07109
33aNPI1558441923assigned 10/17/2006
33bProvider typeSpecialist
28Total paid$356K
24GClaims10,502
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#110 of 378
Median peer was paid$63K
This provider vs. median5.7×
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 | 2,221 | $93K | |
| 2019 | 2,502 | $89K | |
| 2020 | 1,963 | $70K | |
| 2021 | 1,880 | $55K | |
| 2022 | 1,746 | $44K | |
| 2023 | 190 | $5K |
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 | 45% | 3,851 | 3,490 | $161K |
| 76536 | 32% | 2,740 | 2,682 | $113K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.3% | 608 | 559 | $30K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 5.1% | 558 | 535 | $18K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.5% | 83 | 83 | $9K |
| 88173 | 1.5% | 60 | 52 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 281 | 266 | $4K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 60 | 52 | $3K |
| 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% | 48 | 45 | $3K |
| 82948 | <1% | 1,876 | 1,716 | $3K | |
| 10005 | <1% | 45 | 42 | $2K | |
| 88104 | <1% | 42 | 38 | $2K |
6 more codes
| 88108 | <1% | 43 | $1K | |
| 88172 | <1% | 32 | $1K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 103 | $1K |
| 36410 | <1% | 13 | $252.54 | |
| 99490 | Ccm add 20min | <1% | 30 | $45.70 |
| 82962 | <1% | 29 | $2.00 |
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 officialREDDY, RAMA (PRESIDENT)