Physician
Meridian Medical Group-Retail Clinic PC
Meridian Medical Group-Retail Clinic PC was paid $398K by Medicaid between Jan 2018 and Mar 2020, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoMERIDIAN MEDICAL GROUP-RETAIL CLINIC PC
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
33aNPI1578511010assigned 05/05/2006
33bProvider typeSurgery Physician
28Total paid$398K
24GClaims13,277
24DCodes billed12
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Surgery Physician providers in New Jersey
Rank by total paid#11 of 82
Median peer was paid$8K
This provider vs. median52×
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 | 2,984 | $94K | |
| 2019 | 6,834 | $216K | |
| 2020 | 3,459 | $87K |
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 | 64% | 3,324 | 3,031 | $254K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 1,217 | 1,217 | $95K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.9% | 499 | 499 | $40K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 4,397 | 2,149 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,233 | 2,196 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 381 | 378 | $575.00 |
| 90686 | <1% | 465 | 465 | $249.24 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 140 | 140 | $114.36 |
| 81002 | <1% | 265 | 260 | $12.18 | |
| 86308 | 0% | 115 | 115 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 96 | 83 | $0.00 |
| 36416 | 0% | 145 | 145 | $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 officialCLARKE, JAMES (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Meridian Medical Group - Specialty Care, PC | Red Bank, NJ | $8.24M |
| Hackensack Meridian Urgent Care, PC | Freehold, NJ | $3.58M |
| Above and Beyond Community Services | Naugatuck, CT | $1.83M |
| James R. Clarke, P.T.,P.A. | Rockville, MD | $496K |
| Meridian Pediatric Surgical Associates, P.C. | Eatontown, NJ | $44K |
| Total Patient Care LLC | Brick, NJ | $25K |
| Meridian Trauma Associates, P.C. | Neptune, NJ | $18K |
| Ear Nose Throat and Facial Plastic Surgery Associates PC | Brick, NJ | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.