Physician
Zemel, Nathan
Zemel, Nathan was paid $22K by Medicaid between Jan 2020 and Feb 2024, across 8 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 33% of everything it billed.
33Billing provider infoZEMEL, NATHAN
NEWARK, NJ 07102
NEWARK, NJ 07102
33aNPI1629102421assigned 03/15/2007
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$22K
24GClaims845
24DCodes billed8
24AFirst – last monthJan 2020 – Feb 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in New Jersey
Rank by total paid#28 of 91
Median peer was paid$5K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2020 | 392 | $6K | |
| 2022 | 429 | $14K | |
| 2024incomplete | 24 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 33% | 143 | 65 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 29% | 143 | 65 | $6K |
| 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 | 12% | 96 | 70 | $3K |
| 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 | 9.9% | 60 | 56 | $2K |
| 80306 | 6.0% | 196 | 145 | $1K | |
| 99386 | 5.3% | 52 | 52 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.1% | 143 | 65 | $677.36 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 12 | 12 | $324.62 |
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.