Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Fair Lawn › NPI 1699889980

Heart & Vascular Associates of Northern Jersey, P.A.

Heart & Vascular Associates of Northern Jersey, P.A. was paid $1.63M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 36% of everything it billed.

33Billing provider infoHEART & VASCULAR ASSOCIATES OF NORTHERN JERSEY, P.A.
FAIR LAWN, NJ 07410
33aNPI1699889980assigned 08/17/2006
33bProvider typeSpecialist
28Total paid$1.63M
24GClaims43,403
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Specialist providers in New Jersey

Rank by total paid#40 of 378
Median peer was paid$63K
This provider vs. median26×

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$20K$40K2018201920202021202220232024
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
201812,556$164K
20194,210$105K
20204,816$219K
20215,145$241K
20225,764$285K
20236,518$363K
2024incomplete4,394$256K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 36% 27,557 8,117 $589K
95811 22% 1,047 981 $364K
95810 Polysomnography; sleep staging with 4 or more additional parameters 20% 1,003 930 $331K
99223 Prolong inpt eval add15 m 3.9% 1,076 1,055 $64K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.9% 2,160 1,092 $64K
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 3.5% 956 922 $57K
99239 Hospital discharge day management, more than 30 minutes 2.7% 1,295 1,264 $44K
99222 Initial hospital care, per day, moderate complexity 2.2% 865 850 $35K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.9% 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 1.3% 324 306 $22K
99238 Hospital discharge day management, 30 minutes or less <1% 590 583 $16K
99308 Subsequent nursing facility care, per day, straightforward <1% 579 304 $7K
13 more codes
99204 Doctor's office visit, new patient (more involved) <1% 29 $3K
00811 <1% 39 $1K
00812 <1% 21 $871.70
00731 <1% 18 $820.45
99203 Doctor's office visit, new patient (routine) <1% 15 $683.72
00813 <1% 14 $512.04
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 22 $423.55
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 99 $203.72
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $201.80
76830 Ultrasound, transvaginal <1% 97 $186.86
99307 <1% 30 $124.77
A4558 Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz <1% 90 $1.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 4,850 $0.03

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 officialURGO, TERRI (SENIOR PRACTICE MANAGER)