Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1710928536assigned 06/10/2006
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20211,015$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.