Raritan Bay Primary Care & Cardiology Associates, PA
Raritan Bay Primary Care & Cardiology Associates, PA was paid $1.73M by Medicaid between Jan 2018 and Nov 2024, across 109 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoRARITAN BAY PRIMARY CARE & CARDIOLOGY ASSOCIATES, PA
MATAWAN, NJ 07747
MATAWAN, NJ 07747
33aNPI1679845689assigned 02/07/2012
33bProvider typeSpecialist
28Total paid$1.73M
24GClaims170,733
24DCodes billed109
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#37 of 378
Median peer was paid$63K
This provider vs. median28×
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 | 12,727 | $283K | |
| 2019 | 18,739 | $277K | |
| 2020 | 16,315 | $185K | |
| 2021 | 25,385 | $265K | |
| 2022 | 52,090 | $361K | |
| 2023 | 30,961 | $250K | |
| 2024incomplete | 14,516 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 21,310 | 16,030 | $694K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 14,741 | 10,439 | $335K |
| 99490 | Ccm add 20min | 12% | 18,358 | 17,090 | $207K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.5% | 1,271 | 1,214 | $61K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 1,262 | 1,126 | $54K |
| 93000 | 2.4% | 4,469 | 4,014 | $42K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.3% | 3,091 | 1,200 | $40K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 8,115 | 5,792 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,283 | 720 | $22K |
| 99401 | 1.3% | 1,998 | 1,813 | $22K | |
| 99496 | 1.1% | 471 | 341 | $19K | |
| 99497 | <1% | 1,048 | 863 | $16K |
97 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,249 | $14K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 381 | $11K |
| 90756 | <1% | 572 | $11K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 218 | $10K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 50 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 405 | $9K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 340 | $8K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,893 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,059 | $7K |
| 90688 | <1% | 506 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 502 | $7K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 517 | $6K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 5,437 | $5K |
| 90653 | <1% | 171 | $5K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,613 | $5K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 442 | $4K |
| 94010 | <1% | 284 | $4K | |
| 92548 | <1% | 137 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 255 | $4K |
| 90674 | <1% | 164 | $4K | |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | <1% | 1,889 | $3K |
| 90694 | <1% | 389 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 74 | $3K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 3,456 | $3K |
| 92250 | <1% | 209 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 39 | $2K |
| 99442 | <1% | 467 | $2K | |
| 92546 | <1% | 192 | $2K | |
| 95923 | <1% | 151 | $2K | |
| G0008 | Administration of influenza virus vaccine | <1% | 689 | $2K |
| 95943 | <1% | 63 | $2K | |
| 92540 | <1% | 112 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 534 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 81 | $1K |
| 93922 | <1% | 125 | $1K | |
| 95921 | <1% | 139 | $1K | |
| 96103 | <1% | 152 | $1K | |
| 93784 | <1% | 28 | $1K | |
| 99406 | <1% | 238 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 153 | $1K |
| 99441 | <1% | 131 | $782.60 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 507 | $750.39 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 75 | $698.04 |
| 3078F | <1% | 12,401 | $642.14 | |
| 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% | 1,524 | $617.75 |
| 3074F | <1% | 10,222 | $576.07 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 491 | $572.28 |
| 36000 | <1% | 345 | $549.32 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 67 | $499.24 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 1,280 | $484.62 |
| 93040 | <1% | 67 | $449.20 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $395.30 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 83 | $376.07 |
| 97803 | <1% | 1,962 | $349.81 | |
| 3079F | <1% | 3,524 | $317.03 | |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 287 | $298.36 |
| 99454 | <1% | 577 | $288.27 | |
| 90661 | <1% | 12 | $260.00 | |
| 3077F | <1% | 1,928 | $231.04 | |
| 3075F | <1% | 4,228 | $225.04 | |
| 82962 | <1% | 616 | $185.76 | |
| 92547 | <1% | 111 | $144.03 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 18 | $111.44 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 116 | $88.27 |
| 96127 | <1% | 39 | $73.64 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 15,886 | $44.68 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 45 | $39.86 |
| 97802 | <1% | 139 | $38.80 | |
| 3080F | <1% | 381 | $36.00 | |
| 82270 | <1% | 19 | $25.78 | |
| 99072 | <1% | 320 | $17.50 | |
| 99453 | <1% | 91 | $17.44 | |
| 83014 | <1% | 12 | $9.44 | |
| 81002 | <1% | 17 | $8.81 | |
| 94761 | <1% | 18 | $8.00 | |
| 1111F | <1% | 715 | $7.00 | |
| 1170F | <1% | 109 | $4.00 | |
| 3044F | <1% | 460 | $3.00 | |
| 3045F | <1% | 17 | $2.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 6,064 | $1.20 |
| 3051F | <1% | 75 | $1.00 | |
| 1125F | <1% | 12 | $1.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 76 | $0.00 |
| 4013F | 0% | 158 | $0.00 | |
| 3288F | 0% | 100 | $0.00 | |
| 3050F | 0% | 50 | $0.00 | |
| 3046F | 0% | 13 | $0.00 | |
| 4010F | 0% | 155 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 137 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 475 | $0.00 |
| 3048F | 0% | 210 | $0.00 | |
| 3049F | 0% | 186 | $0.00 | |
| 99457 | 0% | 233 | $0.00 | |
| 99458 | 0% | 32 | $0.00 | |
| 3017F | 0% | 54 | $0.00 | |
| 1126F | 0% | 44 | $0.00 | |
| 1101F | 0% | 14 | $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 officialPATEL, VIJAY (MD)
| Provider | Location | Paid |
|---|---|---|
| Lone Star Dental and Braces, PLLC | Ft Worth, TX | $2.44M |
| Acme Health Services, INC | Indianapolis, IN | $1.00M |
| Montclair Plaza Dental Group | Montclair, CA | $387K |
| Wayne Primary Care | Wayne, MI | $347K |
| Visiting Physicians Services | Northville, MI | $18K |
| Vijay B. Patel | San Bernardino, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.