Sapienza, Mark

Sapienza, Mark was paid $6K by Medicaid between Oct 2019 and Oct 2020, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 73% of everything it billed.

33Billing provider infoSAPIENZA, MARK
ENGLEWOOD, NJ 07631

33aNPI1619929874assigned 05/16/2006

33bProvider typeGastroenterology Physician

28Total paid$6K

24GClaims77

24DCodes billed2

24AFirst – last monthOct 2019 – Oct 2020

Compared with peers

Next to other Gastroenterology Physician providers in New Jersey

Rank by total paid#100 of 150

Median peer was paid$27K

This provider vs. median0.2×

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
2019	24	$2K
2020	53	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	73%	53	53	$4K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	27%	24	24	$2K

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.