Physician
Star Medcare PC
Star Medcare PC was paid $2.63M by Medicaid between Mar 2021 and Nov 2024, across 16 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 47% of everything it billed.
33Billing provider infoSTAR MEDCARE PC
NEWARK, NJ 07108
NEWARK, NJ 07108
33aNPI1699376129assigned 11/02/2020
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$2.63M
24GClaims144,991
24DCodes billed16
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in New Jersey
Rank by total paid#2 of 91
Median peer was paid$5K
This provider vs. median568×
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 | 4,997 | $167K | |
| 2022 | 79,978 | $1.79M | |
| 2023 | 51,267 | $633K | |
| 2024incomplete | 8,749 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 47% | 49,799 | 14,850 | $1.23M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 33% | 26,210 | 10,409 | $855K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 10% | 38,692 | 7,568 | $268K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 10,551 | 5,954 | $137K |
| 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 | 2.3% | 2,904 | 1,895 | $59K |
| 80305 | 1.5% | 12,538 | 6,769 | $40K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 372 | 370 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,346 | 930 | $8K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 1,601 | 965 | $5K |
| 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% | 59 | 59 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 544 | 435 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 93 | 70 | $358.19 |
4 more codes
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 officialZEMEL, NATHAN (AUTHORIZED OFFICIAL)