Physician
Essex Plaza Medical Associates PA
Essex Plaza Medical Associates PA was paid $207K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoESSEX PLAZA MEDICAL ASSOCIATES PA
NEWARK, NJ 07102
NEWARK, NJ 07102
33aNPI1740475854assigned 09/11/2007
33bProvider typeInternal Medicine Physician
28Total paid$207K
24GClaims8,784
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#227 of 1,027
Median peer was paid$30K
This provider vs. median7.0×
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 | 2,723 | $72K | |
| 2019 | 1,949 | $49K | |
| 2020 | 1,205 | $27K | |
| 2021 | 1,144 | $23K | |
| 2022 | 763 | $17K | |
| 2023 | 719 | $13K | |
| 2024incomplete | 281 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63% | 4,077 | 3,475 | $130K |
| 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 | 31% | 1,274 | 1,113 | $64K |
| 99406 | 1.5% | 710 | 613 | $3K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.2% | 340 | 337 | $3K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 1,507 | 1,423 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 123 | 123 | $2K |
| 90688 | <1% | 89 | 89 | $1K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 176 | 175 | $1K |
| 93000 | <1% | 72 | 68 | $788.52 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 69 | 69 | $600.60 |
| 99490 | Ccm add 20min | <1% | 263 | 254 | $436.79 |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | 17 | $35.20 |
2 more codes
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 officialSHAH, SANDHYA (PRESIDENT)