Physician
University Physician Associates of New Jersey INC
University Physician Associates of New Jersey INC was paid $41.80M by Medicaid between Jan 2018 and Nov 2024, across 58 billing codes. Its largest line is 99285, emergency room visit (most serious) — 37% of everything it billed.
33Billing provider infoUNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
NEWARK, NJ 07103
NEWARK, NJ 07103
33aNPI1639189236assigned 08/08/2006
33bProvider typeOtolaryngology Physician
28Total paid$41.80M
24GClaims309,386
24DCodes billed58
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in New Jersey
Rank by total paid#1 of 42
Median peer was paid$43K
This provider vs. median971×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HAIER, DAVID controls 17+ related entities in our dataset. Read more
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 | 33,406 | $5.58M | |
| 2019 | 36,419 | $5.91M | |
| 2020 | 27,807 | $3.80M | |
| 2021 | 45,034 | $6.01M | |
| 2022 | 56,191 | $6.47M | |
| 2023 | 72,563 | $9.02M | |
| 2024incomplete | 37,966 | $5.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 37% | 77,336 | 73,447 | $15.47M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 39,724 | 38,021 | $6.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 39,601 | 36,528 | $4.10M |
| 31237 | 6.5% | 7,666 | 5,246 | $2.70M | |
| 31231 | 5.0% | 14,085 | 12,429 | $2.11M | |
| 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 | 4.9% | 12,358 | 11,358 | $2.05M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 10,735 | 10,180 | $1.70M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.8% | 12,440 | 12,065 | $1.18M |
| 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 | 2.1% | 3,630 | 3,408 | $868K |
| 31579 | 1.8% | 3,470 | 3,189 | $734K | |
| 31575 | 1.6% | 5,507 | 5,050 | $688K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.4% | 2,290 | 1,052 | $575K |
46 more codes
| 92504 | 1.2% | 11,111 | $487K | |
| 93970 | 1.1% | 9,263 | $440K | |
| 30140 | <1% | 774 | $313K | |
| 99243 | <1% | 1,367 | $293K | |
| 30520 | <1% | 532 | $252K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,889 | $205K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 549 | $175K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,819 | $167K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 292 | $105K |
| 99205 | Prolong outpt/office vis | <1% | 297 | $103K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 803 | $82K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 685 | $79K |
| 69210 | <1% | 1,614 | $73K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 349 | $60K |
| 93971 | <1% | 2,123 | $54K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,031 | $53K |
| 99221 | <1% | 526 | $45K | |
| 99223 | Prolong inpt eval add15 m | <1% | 230 | $35K |
| 93880 | <1% | 1,166 | $33K | |
| 54161 | <1% | 94 | $28K | |
| 93922 | <1% | 1,695 | $26K | |
| 30465 | <1% | 25 | $24K | |
| 52000 | <1% | 163 | $20K | |
| 30802 | <1% | 91 | $18K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 208 | $16K |
| 30801 | <1% | 137 | $16K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 72 | $15K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 26 | $10K |
| 93925 | <1% | 431 | $10K | |
| 31615 | <1% | 56 | $9K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 13 | $7K |
| 31622 | <1% | 26 | $6K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 58 | $5K |
| 29581 | <1% | 39 | $5K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 84 | $4K |
| 93923 | <1% | 102 | $3K | |
| 93926 | <1% | 156 | $3K | |
| 29125 | <1% | 32 | $2K | |
| 46600 | <1% | 27 | $2K | |
| 64450 | <1% | 16 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | $153.42 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 22,282 | $127.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 30 | $19.68 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 6,589 | $1.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 9,547 | $0.00 |
| G8708 | Patient not prescribed antibiotic | 0% | 95 | $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 officialHAIER, DAVID (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.