Physician
Island Medical Associates,pa
Island Medical Associates,pa was paid $1.45M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoISLAND MEDICAL ASSOCIATES,PA
EGG HARBOR TWP, NJ 08234
EGG HARBOR TWP, NJ 08234
33aNPI1740292119assigned 08/13/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.45M
24GClaims117,293
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New Jersey
Rank by total paid#14 of 56
Median peer was paid$178K
This provider vs. median8.2×
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 | 5,965 | $225K | |
| 2019 | 15,957 | $200K | |
| 2020 | 10,048 | $170K | |
| 2021 | 14,444 | $198K | |
| 2022 | 26,097 | $243K | |
| 2023 | 26,124 | $227K | |
| 2024incomplete | 18,658 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 58% | 19,311 | 16,979 | $835K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 8,845 | 8,211 | $327K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.6% | 1,728 | 1,683 | $95K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 1,357 | 1,285 | $42K |
| 99401 | 2.7% | 2,577 | 2,444 | $39K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.6% | 1,373 | 1,185 | $37K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.6% | 1,626 | 1,531 | $23K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 359 | 357 | $13K |
| 96127 | <1% | 5,694 | 5,461 | $13K | |
| 99497 | <1% | 228 | 215 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 76 | 70 | $4K |
| 90673 | <1% | 65 | 64 | $4K |
38 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 71 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 194 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 29 | $2K |
| 99406 | <1% | 244 | $1K | |
| 90658 | <1% | 71 | $1K | |
| 93000 | <1% | 58 | $742.17 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 46 | $541.60 |
| 99304 | <1% | 16 | $320.06 | |
| 99407 | <1% | 13 | $109.69 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 116 | $70.14 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 195 | $47.90 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 12 | $45.66 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 72 | $40.74 |
| 82948 | <1% | 12 | $16.44 | |
| 3074F | <1% | 11,496 | $6.00 | |
| 3079F | <1% | 8,904 | $5.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 26 | $4.02 |
| 1036F | <1% | 4,905 | $4.00 | |
| 3080F | <1% | 2,285 | $4.00 | |
| 3077F | <1% | 2,123 | $3.00 | |
| 3075F | <1% | 4,590 | $2.00 | |
| 3078F | <1% | 7,069 | $2.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,339 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 6,908 | $0.00 |
| 1101F | 0% | 464 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,350 | $0.00 |
| 3044F | 0% | 1,112 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 555 | $0.00 |
| 1111F | 0% | 19 | $0.00 | |
| 3288F | 0% | 538 | $0.00 | |
| 4004F | 0% | 1,854 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 11,861 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,213 | $0.00 |
| 3051F | 0% | 122 | $0.00 | |
| 3046F | 0% | 111 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 14 | $0.00 |
| 99173 | 0% | 12 | $0.00 | |
| 1100F | 0% | 35 | $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 officialKUPONIYI, PETER (INTERNAL MEDICINE)
| Provider | Location | Paid |
|---|---|---|
| Inlet Medical Associates, INC | Atlantic City, NJ | $175.90 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.