Physician
Medical Specialist of Northern Jersey LLC
Medical Specialist of Northern Jersey LLC was paid $304K by Medicaid between Sep 2021 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoMEDICAL SPECIALIST OF NORTHERN JERSEY LLC
HALEDON, NJ 07508
HALEDON, NJ 07508
33aNPI1639534423assigned 12/21/2015
33bProvider typePulmonary Disease Physician
28Total paid$304K
24GClaims9,184
24DCodes billed21
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New Jersey
Rank by total paid#19 of 112
Median peer was paid$24K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2021 | 922 | $6K | |
| 2022 | 2,461 | $67K | |
| 2023 | 3,442 | $134K | |
| 2024incomplete | 2,359 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 64% | 3,231 | 2,611 | $195K |
| 96136 | 5.7% | 620 | 536 | $17K | |
| 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 | 4.7% | 113 | 108 | $14K |
| 94729 | 4.5% | 281 | 272 | $14K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.0% | 102 | 102 | $12K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.5% | 472 | 414 | $11K |
| 94727 | 3.4% | 281 | 272 | $10K | |
| 36415 | Collection of venous blood by venipuncture | 2.4% | 1,654 | 1,464 | $7K |
| 94010 | 2.1% | 281 | 272 | $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 | 2.0% | 80 | 74 | $6K |
| 90674 | 1.5% | 244 | 215 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 279 | 271 | $2K |
9 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 204 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $2K |
| 36410 | <1% | 116 | $189.20 | |
| 93000 | <1% | 15 | $180.96 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 291 | $161.91 |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $40.72 |
| 90661 | 0% | 14 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 84 | $0.00 |
| 99000 | 0% | 796 | $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 officialALFAKIR, MARIA (OWNER/MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Medical Specialists of Northern Newjersey LLC | Wayne, NJ | $364K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.