Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC

NPI: 1639189236 · NEWARK, NJ 07103 · Otolaryngology Physician · NPI assigned 08/08/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HAIER, DAVID controls 17+ related entities in our dataset. Read more

$41.80M
Total Medicaid Paid
309,386
Total Claims
285,487
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHAIER, DAVID (CEO)
NPI Enumeration Date08/08/2006

Related Entities

Other providers sharing the same authorized official: HAIER, DAVID

ProviderCityStateTotal Paid
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $36.64M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $34.14M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $14.26M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $10.22M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $5.82M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $5.64M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $4.94M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $4.76M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $2.50M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $2.28M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $1.61M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $852K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $746K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $669K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $467K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $462K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY, INC. NEWARK NJ $226K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 37,966 $5.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 77,336 73,447 $15.47M
99284 Emergency department visit for the evaluation and management, high severity 39,724 38,021 $6.34M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,601 36,528 $4.10M
31237 7,666 5,246 $2.70M
31231 14,085 12,429 $2.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,358 11,358 $2.05M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,735 10,180 $1.70M
99283 Emergency department visit for the evaluation and management, moderate severity 12,440 12,065 $1.18M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,630 3,408 $868K
31579 3,470 3,189 $734K
31575 5,507 5,050 $688K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,290 1,052 $575K
92504 11,111 10,473 $487K
93970 9,263 8,510 $440K
30140 774 641 $313K
99243 1,367 1,366 $293K
30520 532 442 $252K
99232 Subsequent hospital care, per day, moderate complexity 2,889 1,123 $205K
99244 Office or other outpatient consultation, moderate to high complexity 549 549 $175K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,819 2,612 $167K
42820 Tonsillectomy and adenoidectomy; younger than age 12 292 266 $105K
99205 Prolong outpt/office vis 297 278 $103K
99233 Prolong inpt eval add15 m 803 311 $82K
99222 Initial hospital care, per day, moderate complexity 685 625 $79K
69210 1,614 1,502 $73K
99215 Prolong outpt/office vis 349 321 $60K
93971 2,123 1,987 $54K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,031 381 $53K
99221 526 471 $45K
99223 Prolong inpt eval add15 m 230 211 $35K
93880 1,166 1,134 $33K
54161 94 94 $28K
93922 1,695 1,621 $26K
30465 25 24 $24K
52000 163 160 $20K
30802 91 91 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 208 190 $16K
30801 137 104 $16K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 72 63 $15K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 26 24 $10K
93925 431 398 $10K
31615 56 51 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13 12 $7K
31622 26 25 $6K
99238 Hospital discharge day management, 30 minutes or less 58 53 $5K
29581 39 27 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity 84 78 $4K
93923 102 93 $3K
93926 156 148 $3K
29125 32 24 $2K
46600 27 26 $2K
64450 16 13 $2K
36415 Collection of venous blood by venipuncture 30 30 $153.42
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 22,282 21,270 $127.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 30 27 $19.68
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 6,589 6,319 $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) 9,547 9,252 $0.00
G8708 Patient not prescribed antibiotic 95 94 $0.00