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

Adelman, Marc

Adelman, Marc was paid $18K by Medicaid between Mar 2018 and May 2020, across 5 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 65% of everything it billed.

33Billing provider infoADELMAN, MARC
NEWARK, NJ 07102
33aNPI1588745772assigned 10/17/2006
28Total paid$18K
24GClaims555
24DCodes billed5
24AFirst – last monthMar 2018 – May 2020
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in New Jersey

Rank by total paid#20 of 36
Median peer was paid$27K
This provider vs. median0.7×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018220$3K
2019137$2K
2020198$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 65% 120 32 $11K
94010 17% 167 161 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 10% 78 31 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.7% 41 40 $1K
94760 0% 149 141 $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.