Blue River Women's Health PA
Blue River Women's Health PA was paid $1.52M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 42% of everything it billed.
33Billing provider infoBLUE RIVER WOMEN'S HEALTH PA
PATERSON, NJ 07514
PATERSON, NJ 07514
33aNPI1578962916assigned 08/21/2014
33bProvider typeSpecialist
28Total paid$1.52M
24GClaims13,290
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#44 of 378
Median peer was paid$63K
This provider vs. median24×
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 | 4,322 | $801K | |
| 2019 | 1,460 | $116K | |
| 2020 | 826 | $59K | |
| 2021 | 765 | $63K | |
| 2022 | 2,753 | $170K | |
| 2023 | 1,797 | $163K | |
| 2024incomplete | 1,367 | $144K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 42% | 1,835 | 299 | $637K |
| 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 | 26% | 4,262 | 3,831 | $397K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 21% | 2,917 | 2,097 | $321K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 953 | 764 | $59K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.5% | 520 | 511 | $53K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.1% | 1,288 | 932 | $16K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 155 | 154 | $16K |
| 99386 | <1% | 86 | 86 | $11K | |
| 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% | 30 | 30 | $4K |
| 81025 | <1% | 305 | 298 | $2K | |
| 99385 | <1% | 12 | 12 | $1K | |
| 3074F | <1% | 32 | 32 | $11.00 |
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 officialSHILAD, AIMAN (MD)