Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Marlton › NPI 1649226515
Physician

Virtua Medical Group, PA

Virtua Medical Group, PA was paid $48.19M by Medicaid between Jan 2018 and Dec 2024, across 246 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoVIRTUA MEDICAL GROUP, PA
MARLTON, NJ 08053
33aNPI1649226515assigned 05/25/2006
28Total paid$48.19M
24GClaims1,314,383
24DCodes billed246
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Sports Medicine (Family Medicine) Physician providers in New Jersey

Rank by total paid#1 of 10
Median peer was paid$22K
This provider vs. median2,236×

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

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
201890,604$2.66M
2019106,571$3.24M
2020131,105$3.55M
2021216,139$6.03M
2022271,611$6.81M
2023282,174$10.12M
2024incomplete216,179$15.77M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 29% 237,370 223,837 $13.84M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 219,228 205,154 $12.34M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 8.7% 190,967 90,040 $4.19M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.7% 48,865 23,542 $1.78M
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 3.7% 16,848 16,352 $1.77M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.8% 17,071 16,640 $1.37M
S9083 Global fee urgent care centers 2.2% 10,429 9,851 $1.08M
99223 Prolong inpt eval add15 m 2.1% 19,772 18,646 $1.01M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.8% 167,744 147,417 $874K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.8% 23,091 22,604 $871K
99239 Hospital discharge day management, more than 30 minutes 1.7% 21,274 19,577 $809K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.6% 17,832 16,668 $789K
234 more codes
99222 Initial hospital care, per day, moderate complexity 1.0% 11,832 $499K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.0% 4,928 $487K
93000 <1% 31,480 $449K
59025 Fetal non-stress test <1% 16,914 $408K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 19,717 $403K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 5,304 $369K
76819 Fetal biophysical profile; without non-stress testing <1% 7,005 $289K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,719 $262K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 12,110 $243K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 9,904 $242K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 17,593 $229K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,074 $189K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 4,786 $174K
90792 Psychiatric diagnostic evaluation with medical services <1% 857 $171K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,136 $167K
97803 <1% 3,545 $155K
90935 Hemodialysis procedure with single evaluation by a physician <1% 6,225 $134K
99215 Doctor's office visit, returning patient (complex) <1% 2,442 $128K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 2,657 $114K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 364 $110K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 2,046 $89K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,913 $87K
20611 <1% 1,294 $83K
20610 <1% 3,255 $77K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 4,128 $72K
95806 <1% 756 $62K
90686 <1% 7,586 $59K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 323 $57K
90472 Immunization administration, each additional vaccine (list separately) <1% 3,455 $55K
97802 <1% 778 $53K
76813 <1% 1,230 $52K
99254 <1% 683 $48K
76818 <1% 1,594 $48K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose <1% 343 $47K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,410 $46K
59426 <1% 980 $41K
94729 <1% 1,587 $37K
37607 <1% 137 $36K
90961 <1% 397 $35K
95816 <1% 1,702 $34K
93296 <1% 4,308 $34K
99310 Prolong nursin fac eval 15m <1% 763 $34K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,041 $33K
99152 <1% 922 $32K
90791 Psychiatric diagnostic evaluation <1% 978 $30K
99460 <1% 320 $29K
93295 <1% 1,715 $27K
95886 <1% 385 $26K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 53 $26K
90682 <1% 742 $24K
90834 Psychotherapy session, about 45 minutes <1% 2,731 $22K
95811 <1% 154 $22K
43775 <1% 80 $21K
36907 <1% 175 $21K
93297 <1% 3,346 $20K
76801 <1% 426 $19K
11721 <1% 1,758 $19K
99221 <1% 481 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 9,503 $19K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,080 $19K
99205 Prolong outpt/office vis <1% 306 $19K
73630 <1% 535 $19K
36830 <1% 82 $19K
80305 <1% 1,669 $18K
00170 Anesthesia for intraoral procedures, including biopsy <1% 222 $17K
00920 <1% 148 $16K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 2,465 $16K
93018 <1% 586 $15K
36902 <1% 79 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 344 $15K
94727 <1% 1,027 $14K
92558 <1% 1,833 $14K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 658 $14K
73564 <1% 303 $13K
72110 <1% 216 $13K
73610 <1% 346 $12K
73130 <1% 431 $12K
99219 <1% 380 $11K
73110 <1% 310 $11K
Q9991 Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg <1% 239 $11K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 535 $11K
72114 <1% 182 $11K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 555 $10K
99459 <1% 1,097 $10K
94010 <1% 610 $10K
00811 <1% 347 $9K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,162 $9K
H0006 Alcohol and/or drug services; case management <1% 120 $8K
93294 <1% 934 $7K
90670 <1% 823 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,628 $7K
94060 <1% 240 $7K
97804 <1% 454 $7K
99306 Prolong nursin fac eval 15m <1% 266 $7K
99238 Hospital discharge day management, 30 minutes or less <1% 173 $7K
99442 <1% 895 $7K
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% 1,834 $6K
97813 <1% 232 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,951 $6K
77067 Screening mammography, bilateral, including computer-aided detection <1% 47 $6K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 64 $6K
99255 <1% 113 $6K
00731 <1% 228 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 224 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,541 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 643 $5K
81025 <1% 3,342 $5K
95251 <1% 228 $5K
99350 Prolong home eval add 15m <1% 93 $4K
73562 <1% 281 $4K
64615 <1% 40 $4K
91200 <1% 595 $4K
95910 <1% 39 $4K
93356 <1% 144 $4K
93016 <1% 320 $3K
99220 <1% 91 $3K
95800 <1% 39 $3K
00813 <1% 84 $3K
90656 <1% 142 $3K
62323 <1% 39 $3K
81002 <1% 6,750 $3K
98927 <1% 121 $3K
93458 <1% 25 $3K
90837 Psychotherapy session, about an hour <1% 264 $3K
90832 Psychotherapy session, about 30 minutes <1% 189 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 98 $3K
90673 <1% 88 $3K
95909 <1% 12 $3K
99349 <1% 157 $3K
99244 Office or other outpatient consultation, moderate to high complexity <1% 27 $2K
76820 <1% 110 $2K
73502 <1% 54 $2K
93298 <1% 284 $2K
99307 <1% 157 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 300 $2K
72052 <1% 28 $2K
20550 <1% 71 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 119 $2K
98929 <1% 49 $2K
0124A <1% 77 $2K
87430 <1% 2,252 $2K
94726 <1% 28 $2K
90715 <1% 220 $2K
92586 <1% 35 $2K
20553 <1% 45 $2K
97161 <1% 13 $2K
J2315 Injection, naltrexone, depot form, 1 mg <1% 319 $2K
73030 <1% 81 $1K
77063 Screening digital breast tomosynthesis, bilateral <1% 48 $1K
99386 <1% 65 $1K
99201 <1% 12 $1K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes <1% 14 $1K
59425 <1% 80 $1K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 15 $1K
90698 <1% 432 $1K
93248 <1% 85 $1K
95720 <1% 17 $1K
00812 <1% 16 $1K
94618 <1% 102 $998.88
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 92 $989.83
99385 <1% 121 $951.90
99217 <1% 49 $860.89
J1010 Injection, methylprednisolone acetate, 1 mg <1% 112 $782.18
46600 <1% 31 $778.96
99497 <1% 30 $670.37
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 30 $670.06
54150 <1% 34 $666.88
93246 <1% 95 $627.35
83036 Hemoglobin; glycosylated (A1C) <1% 441 $604.77
99441 <1% 122 $586.46
96130 <1% 148 $570.76
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 123 $559.31
J1020 Injection, methylprednisolone acetate, 20 mg <1% 58 $548.32
99406 <1% 124 $534.54
90474 <1% 63 $474.45
99304 <1% 26 $395.09
J1030 Injection, methylprednisolone acetate, 40 mg <1% 44 $385.11
93244 <1% 33 $342.69
90662 <1% 58 $331.79
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 13 $324.01
0003A <1% 12 $280.00
73140 <1% 19 $276.80
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 31 $252.00
36415 Collection of venous blood by venipuncture <1% 149 $242.14
99443 <1% 28 $240.80
92551 <1% 48 $227.02
96127 <1% 33 $216.48
93242 <1% 33 $212.15
93280 <1% 40 $206.48
90633 <1% 85 $179.68
00840 <1% 24 $172.05
90688 <1% 17 $166.78
93225 <1% 15 $158.40
11719 <1% 58 $133.84
99173 <1% 80 $124.92
90785 <1% 229 $102.49
82962 <1% 355 $101.09
87210 <1% 12 $95.53
G0008 Administration of influenza virus vaccine <1% 409 $80.50
76937 <1% 14 $67.21
11056 <1% 12 $19.80
91300 <1% 30 $1.00
3044F 0% 4,281 $0.00
3074F 0% 12,711 $0.00
3079F 0% 1,967 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 21 $0.00
0503F 0% 129 $0.00
86580 0% 37 $0.00
3075F 0% 649 $0.00
90677 0% 38 $0.00
59430 0% 69 $0.00
0500F 0% 260 $0.00
90651 0% 50 $0.00
99253 0% 32 $0.00
58300 0% 13 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 0% 15 $0.00
90680 0% 78 $0.00
90744 0% 39 $0.00
59514 0% 19 $0.00
90619 0% 18 $0.00
0502F 0% 9,126 $0.00
3078F 0% 11,037 $0.00
J0585 Injection, onabotulinumtoxina, 1 unit 0% 122 $0.00
G9643 Elective surgery 0% 184 $0.00
G9644 Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure 0% 174 $0.00
G9497 Received instruction from the anesthesiologist or proxy prior to the day of surgery to abstain from smoking on the day of surgery 0% 182 $0.00
91312 0% 65 $0.00
G9655 A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used 0% 190 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 135 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 14 $0.00
83037 0% 13 $0.00
96160 0% 14 $0.00
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 0% 50 $0.00
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 0% 17 $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 officialMATSINGER, JOHN (EVP, CHIEF OPERATING OFFICER)
Same official

Other billing entities under MATSINGER, JOHN

Full network →
ProviderLocationPaid
Virtua Medical Group, PAMount Holly, NJ$456K
Virtua Medical Group, PASewell, NJ$157K
Virtua Medical Group, PACherry Hill, NJ$142K
Virtua Medical Group, PAMoorestown, NJ$138K
Virtua Medical Group, PAMedford, NJ$136K
Virtua Medical Group, PAHaddon Township, NJ$132K
Virtua Medical Group, PAVoorhees, NJ$131K
Virtua Medical Group, PAMullica Hill, NJ$118K
Virtua Medical Group, PAMount Laurel, NJ$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.