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

Lourdes Medical Associates PA

Lourdes Medical Associates PA was paid $2.29M by Medicaid between Jan 2018 and Oct 2020, across 63 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoLOURDES MEDICAL ASSOCIATES PA
HADDON HEIGHTS, NJ 08035
33aNPI1568441541assigned 01/10/2006
28Total paid$2.29M
24GClaims70,193
24DCodes billed63
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers

Next to other Sports Medicine (Family Medicine) Physician providers in New Jersey

Rank by total paid#2 of 10
Median peer was paid$22K
This provider vs. median106×

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$50K$100K$150K2018201920202021202220232024
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
201835,091$1.11M
201920,756$741K
202014,346$436K
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 27% 23,462 22,758 $622K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 15,892 15,329 $462K
99244 Office or other outpatient consultation, moderate to high complexity 5.6% 1,080 1,080 $128K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.6% 4,152 2,508 $105K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.1% 1,727 1,722 $95K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4.1% 1,881 1,797 $94K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.9% 2,741 1,313 $88K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.5% 2,339 2,195 $56K
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 2.4% 737 737 $54K
59025 Fetal non-stress test 2.3% 1,792 1,281 $52K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.6% 446 446 $37K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.6% 828 571 $36K
51 more codes
76801 1.5% 480 $35K
20610 1.4% 1,484 $32K
36907 1.4% 292 $31K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.3% 130 $29K
99231 Subsequent hospital care, per day, straightforward or low complexity 1.1% 1,040 $24K
99255 1.1% 207 $24K
99254 1.0% 214 $24K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.0% 164 $24K
36902 1.0% 102 $23K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 585 $22K
99215 Doctor's office visit, returning patient (complex) <1% 417 $20K
95886 <1% 317 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 457 $19K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,619 $17K
99235 <1% 173 $16K
76813 <1% 182 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,050 $13K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 305 $11K
90686 <1% 876 $10K
43775 <1% 12 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 91 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 85 $4K
99253 <1% 43 $4K
99239 Hospital discharge day management, more than 30 minutes <1% 96 $3K
90461 <1% 770 $3K
99234 <1% 30 $3K
99219 <1% 52 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 57 $2K
99442 <1% 206 $2K
99222 Initial hospital care, per day, moderate complexity <1% 40 $2K
99308 Subsequent nursing facility care, per day, straightforward <1% 125 $1K
99349 <1% 13 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 32 $1K
92551 <1% 432 $936.98
90682 <1% 52 $918.23
99223 Prolong inpt eval add15 m <1% 44 $867.61
91200 <1% 168 $685.95
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 16 $673.48
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 233 $634.60
36010 <1% 14 $426.85
90474 <1% 27 $264.50
75827 <1% 17 $218.07
90662 <1% 27 $209.11
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 56 $173.25
99441 <1% 50 $99.07
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 17 $90.04
81025 <1% 32 $87.11
90472 Immunization administration, each additional vaccine (list separately) <1% 13 $81.84
36415 Collection of venous blood by venipuncture <1% 44 $21.93
99173 <1% 77 $14.98
G0008 Administration of influenza virus vaccine <1% 51 $11.50

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 officialFOX, STEVEN (PRESIDENT)
Same official

Other billing entities under FOX, STEVEN

Full network →
ProviderLocationPaid
Lourdes Urgent Care ServicesCherry Hill, NJ$28K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.