Physician
Dalton, Mark
Dalton, Mark was paid $35K by Medicaid between Jan 2021 and Nov 2021, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 43% of everything it billed.
33Billing provider infoDALTON, MARK
RED BANK, NJ 07701
RED BANK, NJ 07701
33aNPI1710928536assigned 06/10/2006
33bProvider typeEmergency Medicine Physician
28Total paid$35K
24GClaims1,015
24DCodes billed4
24AFirst – last monthJan 2021 – Nov 2021
Compared with peers
Next to other Emergency Medicine Physician providers in New Jersey
Rank by total paid#84 of 235
Median peer was paid$10K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2021 | 1,015 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 43% | 339 | 325 | $15K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 35% | 274 | 268 | $12K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 207 | 207 | $7K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.3% | 195 | 184 | $1K |
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.