Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › BAYONNE › GARDEN STATE HEALTHCARE ASSOCIATES, LLC

GARDEN STATE HEALTHCARE ASSOCIATES, LLC

NPI: 1700014545 · BAYONNE, NJ 07002 · Cardiovascular Disease Physician · NPI assigned 07/01/2009

$13.24M
Total Medicaid Paid
580,829
Total Claims
487,708
Beneficiaries
139
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSPEKTOR, MARK (SOLE OWNER)
NPI Enumeration Date07/01/2009

Related Entities

Other providers sharing the same authorized official: SPEKTOR, MARK

ProviderCityStateTotal Paid
NEW JERSEY MEDICAL AND HEALTH ASSOCIATES,LLC HOBOKEN NJ $7.53M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 25,906 $537K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 60,568 59,740 $2.59M
99232 Subsequent hospital care, per day, moderate complexity 64,633 23,929 $1.68M
99283 Emergency department visit for the evaluation and management, moderate severity 58,748 56,676 $1.61M
99282 Emergency department visit for the evaluation and management, low to moderate severity 53,901 50,835 $1.11M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,277 18,503 $549K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,576 11,322 $544K
88305 Level IV - Surgical pathology, gross and microscopic examination 10,619 9,398 $513K
70450 Computed tomography, head or brain; without contrast material 23,303 21,842 $478K
99222 Initial hospital care, per day, moderate complexity 7,564 6,661 $451K
99231 Subsequent hospital care, per day, straightforward or low complexity 23,156 9,685 $411K
74177 Computed tomography, abdomen and pelvis; with contrast material 12,816 12,386 $402K
99238 Hospital discharge day management, 30 minutes or less 8,429 7,397 $283K
99442 13,839 12,258 $208K
71045 Radiologic examination, chest; single view 69,331 57,312 $195K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13,949 12,871 $181K
74176 Computed tomography, abdomen and pelvis; without contrast material 6,879 6,579 $172K
99443 4,830 4,261 $155K
77067 Screening mammography, bilateral, including computer-aided detection 8,935 8,810 $131K
99233 Prolong inpt eval add15 m 4,702 2,252 $129K
71046 Radiologic examination, chest; 2 views 26,411 25,837 $125K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,207 3,767 $112K
99239 Hospital discharge day management, more than 30 minutes 2,715 2,569 $111K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,890 1,001 $106K
88342 3,517 3,156 $99K
99221 2,288 1,966 $95K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21,743 19,266 $69K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,600 2,508 $49K
88304 2,029 1,797 $47K
99223 Prolong inpt eval add15 m 758 672 $46K
00731 442 421 $38K
99460 572 558 $37K
76830 Ultrasound, transvaginal 1,327 1,300 $31K
70551 Magnetic resonance imaging, brain; without contrast material 654 637 $28K
93970 1,916 1,751 $26K
99462 981 903 $25K
99253 336 330 $22K
71275 Computed tomographic angiography, chest, with contrast material 721 694 $21K
71250 1,141 1,101 $19K
73630 4,535 4,262 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 979 863 $17K
90792 Psychiatric diagnostic evaluation with medical services 63 58 $17K
70486 582 570 $15K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 710 696 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,064 1,020 $15K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 663 620 $13K
99235 189 179 $13K
90834 Psychotherapy, 45 minutes with patient 344 255 $12K
88307 189 182 $12K
90832 Psychotherapy, 30 minutes with patient 565 403 $12K
73610 2,127 2,026 $10K
76000 724 704 $10K
76642 683 664 $9K
77063 Screening digital breast tomosynthesis, bilateral 764 749 $8K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 301 300 $8K
93018 444 442 $8K
99219 195 191 $8K
99252 122 114 $8K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 101 81 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 210 196 $7K
70496 260 245 $6K
93976 264 261 $6K
70498 231 220 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 493 421 $6K
74178 149 135 $5K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 98 93 $4K
99497 444 322 $4K
73562 883 857 $4K
93016 471 469 $4K
93971 412 385 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 236 229 $3K
72100 469 467 $3K
99254 30 30 $3K
76641 150 101 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21 21 $2K
59025 Fetal non-stress test 100 98 $2K
73030 546 513 $2K
77080 385 380 $2K
99220 42 42 $2K
90847 Family psychotherapy with the patient present, 50 minutes 17 16 $2K
99463 42 42 $2K
73560 594 580 $2K
73130 440 420 $2K
76775 125 124 $2K
99464 34 34 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 79 65 $2K
00170 Anesthesia for intraoral procedures, including biopsy 30 30 $2K
77065 Tomosynthesis, mammo 101 100 $2K
88312 106 84 $1K
72125 Computed tomography, cervical spine; without contrast material 74 64 $1K
59514 18 18 $1K
74018 372 352 $1K
00812 35 25 $1K
00811 13 12 $1K
72110 164 162 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 27 27 $1K
73020 307 296 $1K
93923 127 126 $1K
99217 30 30 $917.83
99225 33 27 $872.66
73110 179 174 $854.96
88313 95 78 $778.12
74022 109 97 $768.55
72131 12 12 $639.90
99215 Prolong outpt/office vis 24 24 $491.30
99251 14 12 $414.00
76536 36 36 $374.36
71260 Computed tomography, thorax, diagnostic; with contrast material 16 12 $336.00
75635 12 12 $317.78
76770 13 13 $316.88
99441 47 42 $292.91
77001 41 39 $289.90
93880 51 50 $286.36
98968 168 143 $281.69
76937 38 37 $267.46
77066 Tomosynthesis, mammo 13 13 $261.29
73221 12 12 $221.59
73080 47 41 $186.45
72040 36 36 $156.77
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 153 148 $106.07
73140 12 12 $44.95
73502 13 12 $32.49
98967 31 31 $27.59
96127 22 19 $8.98
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 57 54 $5.00
1123F 134 113 $2.00
1124F 130 115 $1.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 156 150 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 102 94 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 30 27 $0.00
1036F 127 114 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 121 115 $0.00
3017F 27 27 $0.00
0502F 205 138 $0.00
99100 47 36 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 87 80 $0.00
G8482 Influenza immunization administered or previously received 50 47 $0.00
90837 Psychotherapy, 53 minutes with patient 21 14 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 13 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 19 17 $0.00