Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEART & VASCULAR ASSOCIATES OF NORTHERN JERSEY, P.A.

NPI: 1699889980 · FAIR LAWN, NJ 07410 · Specialist · NPI assigned 08/17/2006

$1.63M
Total Medicaid Paid
43,403
Total Claims
18,926
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialURGO, TERRI (SENIOR PRACTICE MANAGER)
NPI Enumeration Date08/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,556 $164K
2019 4,210 $105K
2020 4,816 $219K
2021 5,145 $241K
2022 5,764 $285K
2023 6,518 $363K
2024 4,394 $256K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 27,557 8,117 $589K
95811 1,047 981 $364K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,003 930 $331K
99223 Prolong inpt eval add15 m 1,076 1,055 $64K
99233 Prolong inpt eval add15 m 2,160 1,092 $64K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 956 922 $57K
99239 Hospital discharge day management, more than 30 minutes 1,295 1,264 $44K
99222 Initial hospital care, per day, moderate complexity 865 850 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 615 602 $31K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 324 306 $22K
99238 Hospital discharge day management, 30 minutes or less 590 583 $16K
99308 Subsequent nursing facility care, per day, straightforward 579 304 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 29 $3K
00811 39 38 $1K
00812 21 20 $871.70
00731 18 18 $820.45
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 14 $683.72
00813 14 13 $512.04
99309 Subsequent nursing facility care, per day, low to moderate complexity 22 12 $423.55
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 99 99 $203.72
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $201.80
76830 Ultrasound, transvaginal 97 97 $186.86
99307 30 26 $124.77
A4558 Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz 90 90 $1.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,850 1,452 $0.03