Medicaid Provider Spending

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

SOVEREIGN MEDICAL GROUP LLC

NPI: 1710282082 · ORADELL, NJ 07649 · 207R00000X

$8.29M
Total Medicaid Paid
182,651
Total Claims
159,712
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,586 $1.53M
2019 22,761 $1.18M
2020 14,730 $664K
2021 20,612 $1.03M
2022 31,649 $1.34M
2023 36,692 $1.53M
2024 26,621 $1.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 45,923 40,870 $2.26M
99214 20,808 18,977 $1.60M
99203 9,114 8,824 $748K
L3000 Ft insert ucb berkeley shell 3,331 1,431 $661K
99204 5,581 5,351 $637K
76872 4,093 3,782 $295K
52224 1,091 990 $272K
95913 1,152 1,003 $222K
95886 1,427 1,247 $189K
99212 4,084 3,834 $150K
76770 2,124 1,965 $127K
73620 4,291 2,436 $96K
99401 3,469 2,423 $68K
99442 1,278 1,093 $61K
99223 Prolong inpt eval add15 m 721 653 $58K
95813 175 169 $56K
52000 478 468 $48K
11720 3,592 3,383 $48K
51798 8,778 8,040 $48K
76856 1,177 1,059 $43K
11721 1,870 1,825 $40K
87798 205 198 $35K
11056 1,800 1,722 $34K
95716 14 14 $31K
11102 332 318 $30K
99205 Prolong outpt/office vis 213 211 $30K
99232 822 366 $28K
99202 348 348 $26K
11100 217 200 $22K
51741 1,076 1,018 $21K
95117 1,654 726 $21K
11104 173 169 $21K
11900 402 373 $20K
95165 55 53 $20K
76775 783 707 $18K
73630 464 357 $11K
96372 1,164 772 $10K
90746 189 172 $10K
81002 18,434 16,387 $9K
90471 909 801 $9K
20611 135 115 $9K
95912 42 41 $8K
36415 4,214 3,999 $8K
G0127 Trim nail(s) 1,624 1,375 $7K
A5500 Diab shoe for density insert 363 166 $7K
76857 546 412 $6K
A5512 Multi den insert direct form 269 126 $6K
95720 14 14 $5K
95700 27 26 $5K
73562 158 153 $5K
45380 27 27 $5K
11103 61 61 $5K
99396 37 36 $4K
99244 26 26 $4K
17110 34 28 $3K
43239 17 17 $3K
99211 138 135 $3K
95812 12 12 $3K
S0395 Impression casting ft 105 50 $3K
87653 205 198 $3K
87481 204 197 $3K
11101 49 45 $3K
99354 32 30 $3K
93890 17 15 $3K
J3301 Triamcinolone acet inj nos 1,010 927 $3K
93886 15 15 $3K
88121 220 166 $2K
90686 154 142 $2K
81001 1,125 1,074 $2K
90658 103 99 $2K
11719 497 493 $2K
93892 17 15 $2K
J3420 Vitamin b12 injection 1,053 715 $2K
81003 3,992 3,739 $2K
92557 71 66 $2K
99215 Prolong outpt/office vis 20 19 $2K
88341 42 41 $1K
88305 167 145 $1K
99385 13 12 $1K
99222 16 16 $1K
99443 31 27 $1K
L1902 Afo ankle gauntlet pre ots 12 12 $980.01
88360 208 167 $967.61
88342 400 319 $919.41
G0481 Drug test def 8-14 classes 55 55 $827.22
11055 28 26 $798.78
20610 18 16 $729.80
J1071 Inj testosterone cypionate 441 169 $663.49
76942 15 12 $644.35
69210 25 25 $599.70
29540 27 26 $560.53
J1030 Methylprednisolone 40 mg inj 46 45 $502.85
87624 15 15 $450.32
87491 15 15 $448.68
87535 15 15 $448.68
87538 15 15 $448.68
87529 15 15 $448.68
87516 15 15 $448.68
87521 Neg quan hep c or qual rna 15 15 $448.68
87661 15 15 $424.56
87563 15 15 $416.90
90688 36 36 $385.23
87591 15 15 $351.13
97750 74 62 $324.91
J1040 Methylprednisolone 80 mg inj 12 12 $271.39
73610 13 12 $265.96
G0447 Behavior counsel obesity 15m 35 28 $262.24
92567 28 25 $261.15
88112 210 168 $257.91
92541 31 26 $235.35
93000 13 13 $206.94
98966 18 12 $187.45
87500 12 12 $185.11
86780 15 15 $171.37
51702 17 14 $49.13
J1100 Dexamethasone sodium phos 51 39 $44.00
G8427 Docrev cur meds by elig clin 4,642 3,933 $4.00
G8510 Scr dep neg, no plan reqd 125 118 $0.27
G8417 Calc bmi abv up param f/u 1,143 971 $0.00
G8752 Sys bp less 140 1,331 1,131 $0.00
G8431 Pos clin depres scrn f/u doc 416 351 $0.00
1160F 155 135 $0.00
G8482 Flu immunize order/admin 133 121 $0.00
G8753 Sys bp > or = 140 132 110 $0.00
G8483 Flu imm no admin doc rea 36 35 $0.00
3725F 19 14 $0.00
G8754 Dias bp less 90 1,463 1,246 $0.00
G8755 Dias bp > or = 90 64 52 $0.00
1036F 101 87 $0.00
3008F 174 150 $0.00
G8950 Pre-htn or htn doc, f/u indc 14 12 $0.00