Calvary Medical Associates LLC

Calvary Medical Associates LLC was paid $44K by Medicaid between Jan 2018 and Mar 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 77% of everything it billed.

33Billing provider infoCALVARY MEDICAL ASSOCIATES LLC
MAPLEWOOD, NJ 07040

33aNPI1598073306assigned 09/15/2010

33bProvider typeInternal Medicine Physician

28Total paid$44K

24GClaims1,050

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#464 of 1,027

Median peer was paid$30K

This provider vs. median1.5×

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	363	$16K
2019	274	$13K
2020	145	$6K
2021	65	$3K
2022	91	$3K
2023	97	$3K
2024incomplete	15	$252.88

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	77%	720	683	$34K
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	11%	129	112	$5K
92225		3.9%	76	40	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	3.5%	28	27	$2K
92015	Determination of refractive state	2.4%	54	52	$1K
92250		1.5%	29	25	$676.49
92201		<1%	14	14	$145.37

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 officialDUNCAN, SAMUEL (MEDICAL DIRECTOR)