Physician
Garden State Healthcare Associates, LLC
Garden State Healthcare Associates, LLC was paid $13.24M by Medicaid between Jan 2018 and Nov 2024, across 139 billing codes. Its largest line is 99284, emergency room visit (serious) — 20% of everything it billed.
33Billing provider infoGARDEN STATE HEALTHCARE ASSOCIATES, LLC
BAYONNE, NJ 07002
BAYONNE, NJ 07002
33aNPI1700014545assigned 07/01/2009
33bProvider typeCardiovascular Disease Physician
28Total paid$13.24M
24GClaims580,829
24DCodes billed139
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in New Jersey
Rank by total paid#1 of 204
Median peer was paid$12K
This provider vs. median1,066×
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 | 129,252 | $3.53M | |
| 2019 | 105,354 | $2.65M | |
| 2020 | 72,440 | $1.65M | |
| 2021 | 82,339 | $1.73M | |
| 2022 | 98,414 | $1.84M | |
| 2023 | 67,124 | $1.30M | |
| 2024incomplete | 25,906 | $537K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 20% | 60,568 | 59,740 | $2.59M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 64,633 | 23,929 | $1.68M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 58,748 | 56,676 | $1.61M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 8.4% | 53,901 | 50,835 | $1.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 20,277 | 18,503 | $549K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.1% | 11,576 | 11,322 | $544K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.9% | 10,619 | 9,398 | $513K |
| 70450 | Computed tomography, head or brain; without contrast material | 3.6% | 23,303 | 21,842 | $478K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.4% | 7,564 | 6,661 | $451K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.1% | 23,156 | 9,685 | $411K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 3.0% | 12,816 | 12,386 | $402K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 8,429 | 7,397 | $283K |
127 more codes
| 99442 | 1.6% | 13,839 | $208K | |
| 71045 | Radiologic examination, chest; single view | 1.5% | 69,331 | $195K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 13,949 | $181K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 1.3% | 6,879 | $172K |
| 99443 | 1.2% | 4,830 | $155K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 8,935 | $131K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 4,702 | $129K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 26,411 | $125K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,207 | $112K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 2,715 | $111K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 1,890 | $106K |
| 88342 | <1% | 3,517 | $99K | |
| 99221 | <1% | 2,288 | $95K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 21,743 | $69K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 2,600 | $49K |
| 88304 | <1% | 2,029 | $47K | |
| 99223 | Prolong inpt eval add15 m | <1% | 758 | $46K |
| 00731 | <1% | 442 | $38K | |
| 99460 | <1% | 572 | $37K | |
| 76830 | Ultrasound, transvaginal | <1% | 1,327 | $31K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 654 | $28K |
| 93970 | <1% | 1,916 | $26K | |
| 99462 | <1% | 981 | $25K | |
| 99253 | <1% | 336 | $22K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 721 | $21K |
| 71250 | <1% | 1,141 | $19K | |
| 73630 | <1% | 4,535 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 979 | $17K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 63 | $17K |
| 70486 | <1% | 582 | $15K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 710 | $15K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,064 | $15K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 663 | $13K |
| 99235 | <1% | 189 | $13K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 344 | $12K |
| 88307 | <1% | 189 | $12K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 565 | $12K |
| 73610 | <1% | 2,127 | $10K | |
| 76000 | <1% | 724 | $10K | |
| 76642 | <1% | 683 | $9K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 764 | $8K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 301 | $8K |
| 93018 | <1% | 444 | $8K | |
| 99219 | <1% | 195 | $8K | |
| 99252 | <1% | 122 | $8K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 101 | $7K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 210 | $7K |
| 70496 | <1% | 260 | $6K | |
| 93976 | <1% | 264 | $6K | |
| 70498 | <1% | 231 | $6K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 493 | $6K |
| 74178 | <1% | 149 | $5K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 98 | $4K |
| 99497 | <1% | 444 | $4K | |
| 73562 | <1% | 883 | $4K | |
| 93016 | <1% | 471 | $4K | |
| 93971 | <1% | 412 | $3K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 236 | $3K |
| 72100 | <1% | 469 | $3K | |
| 99254 | <1% | 30 | $3K | |
| 76641 | <1% | 150 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 21 | $2K |
| 59025 | Fetal non-stress test | <1% | 100 | $2K |
| 73030 | <1% | 546 | $2K | |
| 77080 | <1% | 385 | $2K | |
| 99220 | <1% | 42 | $2K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 17 | $2K |
| 99463 | <1% | 42 | $2K | |
| 73560 | <1% | 594 | $2K | |
| 73130 | <1% | 440 | $2K | |
| 76775 | <1% | 125 | $2K | |
| 99464 | <1% | 34 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 79 | $2K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 30 | $2K |
| 77065 | Tomosynthesis, mammo | <1% | 101 | $2K |
| 88312 | <1% | 106 | $1K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 74 | $1K |
| 59514 | <1% | 18 | $1K | |
| 74018 | <1% | 372 | $1K | |
| 00812 | <1% | 35 | $1K | |
| 00811 | <1% | 13 | $1K | |
| 72110 | <1% | 164 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $1K |
| 73020 | <1% | 307 | $1K | |
| 93923 | <1% | 127 | $1K | |
| 99217 | <1% | 30 | $917.83 | |
| 99225 | <1% | 33 | $872.66 | |
| 73110 | <1% | 179 | $854.96 | |
| 88313 | <1% | 95 | $778.12 | |
| 74022 | <1% | 109 | $768.55 | |
| 72131 | <1% | 12 | $639.90 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 24 | $491.30 |
| 99251 | <1% | 14 | $414.00 | |
| 76536 | <1% | 36 | $374.36 | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 16 | $336.00 |
| 75635 | <1% | 12 | $317.78 | |
| 76770 | <1% | 13 | $316.88 | |
| 99441 | <1% | 47 | $292.91 | |
| 77001 | <1% | 41 | $289.90 | |
| 93880 | <1% | 51 | $286.36 | |
| 98968 | <1% | 168 | $281.69 | |
| 76937 | <1% | 38 | $267.46 | |
| 77066 | Tomosynthesis, mammo | <1% | 13 | $261.29 |
| 73221 | <1% | 12 | $221.59 | |
| 73080 | <1% | 47 | $186.45 | |
| 72040 | <1% | 36 | $156.77 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 153 | $106.07 |
| 73140 | <1% | 12 | $44.95 | |
| 73502 | <1% | 13 | $32.49 | |
| 98967 | <1% | 31 | $27.59 | |
| 96127 | <1% | 22 | $8.98 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 57 | $5.00 |
| 1123F | <1% | 134 | $2.00 | |
| 1124F | <1% | 130 | $1.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 156 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 102 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 30 | $0.00 |
| 1036F | 0% | 127 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 121 | $0.00 |
| 3017F | 0% | 27 | $0.00 | |
| 0502F | 0% | 205 | $0.00 | |
| 99100 | 0% | 47 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 87 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 50 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 21 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 13 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 19 | $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 officialSPEKTOR, MARK (SOLE OWNER)
| Provider | Location | Paid |
|---|---|---|
| New Jersey Medical and Health Associates,llc | Hoboken, NJ | $7.53M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.