Two River Allergy & Asthma Group, LLC
Two River Allergy & Asthma Group, LLC was paid $312K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 37% of everything it billed.
33Billing provider infoTWO RIVER ALLERGY & ASTHMA GROUP, LLC
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
33aNPI1659443364assigned 11/15/2006
33bProvider typeSpecialist
28Total paid$312K
24GClaims9,790
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#119 of 378
Median peer was paid$63K
This provider vs. median5.0×
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 | 1,683 | $54K | |
| 2019 | 1,715 | $53K | |
| 2020 | 1,735 | $47K | |
| 2021 | 1,940 | $76K | |
| 2022 | 1,308 | $47K | |
| 2023 | 1,035 | $27K | |
| 2024incomplete | 374 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 37% | 2,944 | 1,378 | $115K |
| 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% | 2,133 | 1,966 | $82K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 21% | 363 | 331 | $66K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 6.4% | 149 | 106 | $20K |
| 95117 | 4.7% | 3,553 | 1,723 | $15K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 89 | 88 | $7K |
| 94010 | <1% | 141 | 136 | $3K | |
| 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 | <1% | 44 | 44 | $3K |
| 94016 | <1% | 74 | 72 | $811.50 | |
| 94726 | <1% | 13 | 12 | $331.80 | |
| 99457 | <1% | 12 | 12 | $248.03 | |
| 95012 | <1% | 16 | 16 | $216.88 |
3 more codes
| 94375 | <1% | 124 | $87.00 | |
| 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% | 87 | $82.50 |
| 99072 | 0% | 48 | $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 officialPICONE, FRANK (PRESIDENT)