Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OPTUM MEDICAL CARE OF NEW JERSEY PC

NPI: 1578665048 · SECAUCUS, NJ 07094 · 332B00000X

$218.82M
Total Medicaid Paid
4,314,959
Total Claims
3,884,408
Beneficiaries
448
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 444,913 $22.16M
2019 526,234 $22.66M
2020 587,564 $30.43M
2021 642,507 $39.37M
2022 854,032 $42.78M
2023 734,968 $37.02M
2024 524,741 $24.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 809,661 744,476 $65.18M
99213 919,464 836,730 $54.13M
99204 47,667 45,935 $6.11M
90460 216,337 209,491 $5.77M
99393 51,110 50,429 $4.95M
87635 110,385 104,828 $4.74M
99392 46,099 45,400 $4.46M
93306 25,657 24,366 $4.06M
99203 43,330 41,837 $3.74M
99394 34,757 34,234 $3.65M
99391 31,753 30,844 $2.80M
L3000 Ft insert ucb berkeley shell 12,470 5,908 $2.60M
99395 24,340 23,689 $2.48M
99396 22,536 22,036 $2.41M
87880 224,152 215,000 $2.40M
99212 64,999 61,461 $2.38M
43239 8,517 8,171 $2.37M
95810 3,845 3,778 $2.15M
99244 12,848 12,713 $2.12M
78452 6,699 6,208 $2.04M
92552 59,990 59,185 $1.73M
87804 123,096 77,176 $1.65M
90792 6,391 5,783 $1.63M
45380 5,060 4,661 $1.46M
93970 8,805 8,472 $1.30M
90461 55,435 53,882 $1.23M
99232 35,827 13,364 $1.04M
90832 16,121 11,650 $953K
99243 8,239 8,231 $905K
99215 Prolong outpt/office vis 9,268 8,677 $872K
90471 62,582 59,883 $840K
93000 69,847 67,045 $837K
90833 16,920 15,250 $830K
36465 705 441 $799K
96110 88,666 76,545 $772K
93229 1,517 1,303 $747K
27447 989 893 $629K
93015 9,322 8,999 $623K
45385 1,739 1,475 $596K
95004 5,616 5,352 $588K
20610 10,870 8,402 $554K
95806 3,761 3,663 $516K
73620 25,083 14,997 $496K
96372 25,943 22,477 $484K
92588 18,558 18,297 $467K
36475 294 229 $430K
97110 21,907 7,366 $426K
93880 3,009 2,817 $420K
93925 2,683 2,556 $419K
95782 438 392 $418K
95165 1,349 747 $418K
31231 2,254 2,141 $418K
95811 797 768 $390K
29540 17,762 10,489 $378K
96127 72,642 70,326 $330K
90686 42,095 39,364 $306K
98941 9,944 3,966 $302K
A9500 Tc99m sestamibi 4,635 4,074 $271K
92004 9,840 9,081 $265K
J7323 Euflexxa inj per dose 2,302 1,276 $247K
90834 2,769 2,377 $226K
90674 15,321 14,466 $223K
90746 4,361 4,152 $217K
92250 5,713 5,210 $213K
94060 4,578 4,331 $212K
94729 4,853 4,607 $209K
99222 3,873 3,435 $206K
99188 12,370 11,997 $202K
73564 4,937 4,042 $195K
92551 25,778 25,347 $189K
17110 2,360 1,959 $189K
93971 1,821 1,466 $187K
90791 1,354 1,311 $184K
45378 761 732 $180K
90651 5,933 5,022 $180K
31575 1,880 1,813 $174K
99238 3,687 3,558 $173K
99239 3,719 3,211 $172K
95930 1,728 1,727 $171K
97140 12,236 4,104 $162K
95117 16,871 10,091 $162K
94727 4,855 4,614 $160K
97161 3,606 3,518 $150K
99205 Prolong outpt/office vis 918 889 $150K
99202 2,380 2,357 $138K
99385 1,223 1,199 $137K
93268 625 625 $135K
99460 1,871 1,833 $133K
99174 15,408 15,066 $127K
69210 3,917 3,359 $126K
99233 Prolong inpt eval add15 m 2,999 1,462 $113K
36466 78 64 $113K
11900 2,877 2,577 $111K
92014 9,417 8,083 $110K
92567 8,550 8,091 $105K
99223 Prolong inpt eval add15 m 1,515 1,401 $104K
90670 9,386 8,568 $104K
11901 2,037 1,861 $98K
90715 4,012 3,666 $97K
93923 1,552 1,522 $96K
94640 5,328 4,936 $87K
92557 3,687 3,559 $87K
20611 1,307 957 $85K
73630 3,555 2,689 $80K
99245 418 418 $79K
94010 2,970 2,879 $78K
99386 599 589 $78K
90750 616 570 $72K
99231 3,245 1,043 $70K
0012A 2,491 2,490 $69K
64483 430 426 $69K
73562 2,150 1,856 $66K
99309 3,661 2,541 $63K
73030 2,111 1,823 $63K
90619 2,311 2,189 $61K
92225 1,394 1,363 $61K
83655 6,091 5,920 $58K
J3301 Triamcinolone acet inj nos 15,936 12,789 $57K
92012 1,756 1,490 $57K
G2211 Complex e/m visit add on 15,585 14,002 $54K
97112 2,624 1,251 $53K
99173 50,914 45,509 $51K
92550 4,102 3,932 $51K
97530 1,987 1,232 $48K
0011A 2,704 2,696 $48K
0071A 1,194 1,184 $46K
10060 505 443 $44K
98940 1,850 794 $41K
92136 912 805 $40K
99308 2,308 1,826 $39K
94618 1,434 1,340 $38K
95012 2,199 2,099 $37K
11301 355 330 $37K
10061 257 236 $36K
99442 1,113 1,044 $36K
11306 247 215 $35K
92579 966 951 $35K
96401 543 429 $34K
G0444 Depression screen annual 3,126 2,930 $34K
90621 1,347 1,305 $34K
72100 1,165 1,093 $33K
99443 973 735 $33K
0072A 828 827 $33K
73600 1,481 1,096 $32K
99441 1,755 1,553 $31K
72114 445 441 $31K
99397 749 677 $31K
97164 1,093 1,042 $28K
36416 6,201 5,263 $28K
90734 1,606 1,583 $28K
99462 861 666 $28K
90682 627 627 $28K
90472 2,222 2,155 $28K
96413 239 201 $27K
94664 2,573 2,425 $27K
92587 1,572 1,514 $27K
90677 2,557 2,486 $27K
93228 1,476 1,274 $25K
73610 1,011 805 $25K
93458 114 111 $25K
86580 3,709 3,682 $25K
72110 475 475 $24K
29515 426 228 $24K
G0447 Behavior counsel obesity 15m 1,307 1,266 $24K
93298 1,430 1,366 $23K
73521 622 581 $22K
76857 770 732 $22K
94375 648 615 $21K
93922 289 251 $21K
11721 2,188 2,085 $21K
96112 232 214 $20K
99401 1,916 1,878 $20K
0064A 636 614 $20K
99220 254 254 $19K
62323 167 160 $19K
A9502 Tc99m tetrofosmin 383 337 $18K
G2066 Inter devc remote 30d 1,653 1,474 $17K
90698 5,309 4,913 $17K
J0696 Ceftriaxone sodium injection 4,641 3,660 $16K
76775 361 345 $16K
93296 1,499 1,374 $16K
J1439 Inj ferric carboxymaltos 1mg 22 12 $15K
72275 535 527 $15K
66761 80 49 $15K
92134 657 593 $15K
11042 455 155 $14K
92558 1,777 1,719 $14K
96101 263 249 $14K
64493 138 130 $14K
L4360 Pneumat walking boot pre cst 83 74 $13K
69436 72 72 $13K
99348 685 585 $13K
96365 188 78 $12K
73560 454 424 $12K
11750 85 81 $12K
90662 1,988 1,873 $12K
98942 260 98 $12K
92340 721 586 $12K
85018 5,768 5,572 $11K
93297 788 728 $11K
0001A 395 392 $10K
90633 4,406 3,923 $10K
0002A 283 283 $10K
11102 131 124 $9K
J2785 Regadenoson injection 383 352 $9K
93010 3,087 2,731 $9K
20605 266 247 $9K
93294 823 755 $9K
92025 348 326 $8K
90836 143 133 $8K
J0153 Adenosine inj 1mg 3,197 2,714 $8K
57454 62 61 $8K
95115 930 562 $8K
90756 469 449 $8K
90661 3,330 3,305 $7K
93295 323 292 $7K
90620 150 147 $7K
90680 3,468 3,239 $7K
0013A 249 241 $7K
90710 406 341 $7K
L3260 Ambulatory surgical boot eac 302 283 $7K
81025 1,295 1,044 $7K
73502 167 161 $7K
72050 122 122 $6K
64494 136 128 $6K
95805 14 14 $6K
95018 54 52 $6K
87502 513 482 $6K
92083 141 125 $6K
92015 5,420 4,622 $6K
99381 70 67 $6K
93005 998 911 $6K
G0439 Ppps, subseq visit 1,474 1,261 $6K
J2920 Methylprednisolone injection 1,038 915 $6K
57456 54 52 $6K
92202 485 448 $5K
64484 104 101 $5K
J1885 Ketorolac tromethamine inj 2,778 2,477 $5K
72040 142 138 $5K
92020 258 246 $5K
20985 134 89 $5K
99307 350 281 $5K
J1030 Methylprednisolone 40 mg inj 1,115 947 $5K
20550 112 83 $5K
64495 90 86 $5K
J7324 Orthovisc inj per dose 61 34 $5K
11730 59 55 $4K
90716 652 555 $4K
97014 350 140 $4K
11311 46 43 $4K
99349 172 158 $4K
90707 722 617 $4K
66984 27 14 $4K
72052 71 71 $4K
77002 82 70 $4K
99336 543 385 $4K
68761 26 25 $4K
82962 6,878 5,745 $4K
J1010 Inj, methylpred acetate 1 mg 341 305 $4K
95250 57 56 $4K
73110 79 73 $4K
81002 2,942 2,857 $3K
97802 468 450 $3K
85025 684 680 $3K
90736 20 20 $3K
99211 273 240 $3K
99337 121 109 $3K
87070 526 488 $3K
99152 108 97 $3K
94760 3,256 2,986 $3K
73140 66 57 $3K
99241 56 56 $3K
93280 142 129 $3K
81003 10,223 9,709 $3K
92226 160 157 $3K
90732 30 30 $3K
90636 26 26 $2K
51798 149 148 $2K
90473 190 190 $2K
87634 209 200 $2K
99217 81 81 $2K
99242 28 28 $2K
90696 426 354 $2K
95251 106 95 $2K
92553 59 54 $2K
92286 126 107 $2K
90744 2,140 1,949 $2K
90700 976 873 $2K
87081 479 474 $2K
76512 51 42 $2K
J3420 Vitamin b12 injection 1,250 912 $2K
36415 1,033 991 $2K
80061 203 203 $2K
97162 27 27 $2K
33016 16 14 $2K
60100 12 12 $2K
0134A 67 64 $1K
00813 13 12 $1K
69209 113 100 $1K
92133 44 44 $1K
99253 15 13 $1K
29580 25 14 $1K
10040 19 15 $1K
76514 107 107 $1K
90713 479 421 $1K
91322 20 17 $1K
36470 16 12 $1K
87651 33 33 $1K
93224 15 15 $1K
90653 139 135 $1K
J1040 Methylprednisolone 80 mg inj 106 105 $995.17
90694 137 131 $893.48
00811 16 15 $883.50
J0702 Betamethasone acet&sod phosp 169 142 $858.12
51741 92 91 $836.03
92201 44 44 $827.97
90632 13 13 $817.65
99383 12 12 $815.69
99051 1,590 1,546 $813.73
G0008 Admin influenza virus vac 1,295 1,238 $810.91
91320 13 13 $807.75
36410 48 48 $791.02
87400 254 119 $760.12
90672 211 211 $758.42
73130 22 15 $733.88
87811 23 19 $662.08
76856 13 13 $658.38
90480 33 31 $657.80
94770 334 332 $656.66
96161 250 230 $655.52
90697 297 294 $605.40
99406 69 54 $600.51
99497 45 35 $578.40
T1013 Sign lang/oral interpreter 88 84 $555.00
11056 61 57 $544.19
90649 120 75 $530.57
91301 4,610 4,529 $528.00
90688 144 109 $519.32
97803 211 202 $509.82
J1020 Methylprednisolone 20 mg inj 241 239 $504.65
97022 176 69 $498.26
73080 13 13 $495.59
J7613 Albuterol non-comp unit 1,057 840 $482.12
99335 104 71 $478.38
94070 14 13 $473.68
S0020 Injection, bupivicaine hydro 68 65 $471.86
G0283 Elec stim other than wound 1,625 515 $466.09
93016 28 24 $399.56
99459 22 21 $391.45
3074F 19,193 17,810 $382.00
3078F 17,642 16,362 $375.00
90648 523 470 $357.64
S0119 Ondansetron 4 mg 116 116 $343.24
97035 170 58 $321.44
97032 115 42 $278.39
J1100 Dexamethasone sodium phos 419 380 $271.77
99225 14 12 $268.78
96160 93 93 $234.64
90656 1,160 1,149 $234.37
93018 28 24 $226.23
Q9967 Locm 300-399mg/ml iodine,1ml 140 123 $214.11
99024 3,802 3,192 $213.00
90658 47 45 $186.40
92132 12 12 $178.00
11720 27 26 $177.91
99347 13 13 $163.45
90685 206 203 $154.70
3079F 6,095 5,728 $151.00
90474 12 12 $148.18
85610 57 38 $143.03
87807 39 39 $119.88
76937 16 12 $110.11
99050 15 14 $84.85
3075F 2,094 2,007 $75.00
J7510 Prednisolone oral per 5 mg 29 28 $73.78
G0101 Ca screen;pelvic/breast exam 12 12 $72.34
82947 31 30 $64.55
96380 48 48 $61.28
V2020 Vision svcs frames purchases 6,286 6,118 $60.00
3077F 2,311 2,174 $57.00
99072 3,009 2,681 $44.00
V2100 Lens spher single plano 4.00 6,024 3,114 $42.00
97760 30 28 $41.91
G9016 Demo-smoking cessation coun 14 13 $36.00
1126F 425 399 $31.00
91307 90 86 $30.00
3045F 136 110 $27.00
3061F 252 227 $24.00
G8427 Docrev cur meds by elig clin 4,175 3,034 $21.00
3044F 3,815 3,179 $20.00
J2919 Inj, methylpred sod succ 5mg 20 13 $16.76
G8510 Scr dep neg, no plan reqd 25,261 24,072 $15.20
J7512 Prednisone ir or dr oral 1mg 12 12 $11.00
1125F 257 240 $10.00
3080F 696 669 $9.00
3008F 12,959 12,451 $7.00
J2357 Omalizumab injection 31 24 $6.00
91300 103 103 $5.00
91313 61 56 $5.00
91306 27 27 $2.00
2024F 14 14 $1.00
G8417 Calc bmi abv up param f/u 6,882 6,148 $0.00
G8752 Sys bp less 140 14,319 12,507 $0.00
0502F 698 433 $0.00
4004F 292 264 $0.00
1124F 4,775 4,620 $0.00
G8482 Flu immunize order/admin 2,769 2,730 $0.00
G8431 Pos clin depres scrn f/u doc 1,229 1,140 $0.00
G8483 Flu imm no admin doc rea 2,516 2,407 $0.00
G8753 Sys bp > or = 140 1,133 1,040 $0.00
1160F 43 39 $0.00
1033F 156 154 $0.00
94799 64 64 $0.00
V2203 Lens sphcyl bifocal 4.00d/.1 616 318 $0.00
1159F 267 252 $0.00
2022F 324 260 $0.00
V2750 Anti-reflective coating 2,695 1,367 $0.00
2028F 27 27 $0.00
4040F 17 16 $0.00
90655 29 29 $0.00
J0897 Denosumab injection 44 29 $0.00
3288F 45 27 $0.00
90630 12 12 $0.00
G8420 Calc bmi norm parameters 1,858 1,718 $0.00
G8754 Dias bp less 90 19,696 17,047 $0.00
99000 812 763 $0.00
1036F 10,294 9,612 $0.00
G0009 Admin pneumococcal vaccine 26 26 $0.00
V2103 Spherocylindr 4.00d/12-2.00d 2,610 1,341 $0.00
G9903 Pt scrn tbco id as non user 389 288 $0.00
J3590 Unclassified biologics 347 239 $0.00
G8418 Calc bmi blw low param f/u 256 251 $0.00
V2784 Lens polycarb or equal 5,102 2,614 $0.00
G8419 Calc bmi out nrm param nof/u 503 464 $0.00
92310 12 12 $0.00
V2781 Progressive lens per lens 135 65 $0.00
1111F 39 38 $0.00
1101F 90 90 $0.00
V2200 Lens spher bifoc plano 4.00d 199 98 $0.00
V2299 Lens bifocal speciality 110 53 $0.00
S0620 Routine ophthalmological exa 304 304 $0.00
2000F 32 30 $0.00
G8856 Ref for oto eval 14 14 $0.00
0503F 26 25 $0.00
V2104 Spherocylindr 4.00d/2.12-4d 104 52 $0.00
V2744 Tint photochromatic lens/es 142 69 $0.00
G8755 Dias bp > or = 90 36 31 $0.00
90673 13 12 $0.00