Eatontown Medical Associates, P.A.

Eatontown Medical Associates, P.A. was paid $150K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoEATONTOWN MEDICAL ASSOCIATES, P.A.
OAKHURST, NJ 07755

33aNPI1639174790assigned 06/16/2005

33bProvider typeInternal Medicine Physician

28Total paid$150K

24GClaims4,452

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#280 of 1,027

Median peer was paid$30K

This provider vs. median5.1×

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	863	$43K
2019	546	$31K
2020	233	$7K
2021	351	$11K
2022	644	$19K
2023	1,038	$24K
2024incomplete	777	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	62%	2,312	1,909	$93K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	1,596	1,387	$55K
90682		<1%	27	27	$1K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	<1%	100	69	$419.15
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	33	33	$391.08
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	136	117	$334.95
96127		<1%	156	142	$171.68
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	57	46	$42.00
99406		<1%	18	12	$15.93
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	17	12	$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 officialGALLELLO, CARLO (ADMINISTRATOR)