Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ekstein, Charles

Ekstein, Charles was paid $204K by Medicaid between Jan 2019 and Jan 2022, across 18 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 42% of everything it billed.

33Billing provider infoEKSTEIN, CHARLES
FAIR LAWN, NJ 07410
33aNPI1689930141assigned 04/09/2012
28Total paid$204K
24GClaims3,576
24DCodes billed18
24AFirst – last monthJan 2019 – Jan 2022
Compared with peers

Next to other Orthopaedic Surgery Physician providers in New Jersey

Rank by total paid#23 of 61
Median peer was paid$50K
This provider vs. median4.1×

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$10K$20K$30K2018201920202021202220232024
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
2019342$2K
202043$0.00
20213,139$198K
202252$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42% 850 850 $86K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 837 812 $56K
73030 6.0% 364 339 $12K
73110 5.9% 302 267 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.9% 227 222 $10K
20550 3.6% 136 118 $7K
20610 3.1% 82 80 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.8% 74 74 $6K
73140 1.4% 82 78 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1.2% 286 284 $2K
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 <1% 13 13 $2K
73130 <1% 33 25 $1K
6 more codes
73080 <1% 13 $515.19
1160F 0% 93 $0.00
1159F 0% 93 $0.00
3078F 0% 16 $0.00
3008F 0% 58 $0.00
3074F 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.