Physician
Medical Alliance of Southern New Jersey PC
Medical Alliance of Southern New Jersey PC was paid $127K by Medicaid between Jan 2018 and Feb 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoMEDICAL ALLIANCE OF SOUTHERN NEW JERSEY PC
VINELAND, NJ 08360
VINELAND, NJ 08360
33aNPI1578963435assigned 08/28/2014
33bProvider typePulmonary Disease Physician
28Total paid$127K
24GClaims5,160
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New Jersey
Rank by total paid#33 of 112
Median peer was paid$24K
This provider vs. median5.2×
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 | 550 | $24K | |
| 2019 | 477 | $16K | |
| 2020 | 899 | $23K | |
| 2021 | 1,163 | $26K | |
| 2022 | 1,044 | $21K | |
| 2023 | 933 | $16K | |
| 2024incomplete | 94 | $1K |
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 | 53% | 3,205 | 2,823 | $68K |
| 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 | 41% | 1,245 | 1,181 | $52K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.0% | 258 | 246 | $4K |
| 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 | 1.4% | 26 | 26 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 16 | 15 | $505.96 |
| 96127 | <1% | 352 | 335 | $241.89 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | 12 | $122.82 |
| 99307 | <1% | 13 | 12 | $103.83 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 32 | 31 | $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 officialHUSTON, DONALD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Cardinal Recovery LLC | Franklin, IN | $1.29M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.