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

Alessandra Bertolucci MD LLC

Alessandra Bertolucci MD LLC was paid $794K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.

33Billing provider infoALESSANDRA BERTOLUCCI MD LLC
CLIFTON, NJ 07013
33aNPI1568617330assigned 11/20/2008
33bProvider typeOphthalmology Physician
28Total paid$794K
24GClaims27,145
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#20 of 213
Median peer was paid$20K
This provider vs. median41×

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$10K$20K2018201920202021202220232024
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
20181,429$22K
20192,335$60K
20202,767$94K
20214,973$160K
20225,689$155K
20236,166$193K
2024incomplete3,786$112K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29% 4,312 4,184 $230K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22% 4,575 4,391 $174K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 20% 5,823 5,138 $159K
92250 15% 5,440 5,188 $121K
92134 6.2% 4,071 3,837 $50K
67028 Intravitreal injection of a pharmacologic agent 3.1% 606 509 $24K
92015 Determination of refractive state 2.0% 845 841 $16K
92083 <1% 317 303 $7K
J9035 Injection, bevacizumab, 10 mg <1% 238 90 $4K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 28 24 $3K
92235 <1% 61 58 $2K
92226 <1% 141 100 $2K
5 more codes
99213 Doctor's office visit, returning patient (routine) <1% 248 $1K
92133 <1% 64 $985.14
92225 <1% 23 $481.18
99203 Doctor's office visit, new patient (routine) <1% 32 $177.12
99024 0% 321 $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.

From NPPES

Who's on the registration

Authorized officialBERTOLUCCI, ALESSANDRA (DOCTOR)