Medicaid Provider Spending

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

UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC

NPI: 1760492367 · NEWARK, NJ 07103 · Allergy & Immunology Physician · NPI assigned 08/08/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HAIER, DAVID controls 17+ related entities in our dataset. Read more

$36.64M
Total Medicaid Paid
542,308
Total Claims
379,058
Beneficiaries
92
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHAIER, DAVID (CEO/EXECUTIVE DIRECTOR)
NPI Enumeration Date08/08/2006

Related Entities

Other providers sharing the same authorized official: HAIER, DAVID

ProviderCityStateTotal Paid
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $41.80M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $34.14M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $14.26M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $10.22M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $5.82M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $5.64M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $4.94M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $4.76M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $2.50M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $2.28M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $1.61M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $852K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $746K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $669K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $467K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $462K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY, INC. NEWARK NJ $226K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68,509 $4.94M
2019 68,372 $4.85M
2020 63,541 $4.43M
2021 80,723 $6.12M
2022 104,912 $6.61M
2023 98,762 $6.55M
2024 57,489 $3.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 73,379 68,667 $8.53M
99232 Subsequent hospital care, per day, moderate complexity 107,065 40,461 $7.33M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14,527 6,572 $3.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,271 37,686 $3.07M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 178,512 127,260 $1.94M
99233 Prolong inpt eval add15 m 19,777 8,674 $1.74M
99223 Prolong inpt eval add15 m 9,344 8,357 $1.67M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16,704 15,652 $1.24M
99222 Initial hospital care, per day, moderate complexity 8,992 8,075 $1.07M
99239 Hospital discharge day management, more than 30 minutes 6,098 5,678 $638K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,126 1,854 $614K
90935 Hemodialysis procedure with single evaluation by a physician 10,629 4,072 $577K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,854 2,691 $553K
99308 Subsequent nursing facility care, per day, straightforward 10,066 6,673 $517K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,962 1,869 $471K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,563 1,477 $327K
99238 Hospital discharge day management, 30 minutes or less 4,759 4,385 $314K
45380 Colonoscopy, flexible; with biopsy, single or multiple 983 814 $251K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,704 1,603 $236K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,641 1,807 $171K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 440 330 $160K
90961 1,057 1,008 $141K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 963 943 $136K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 4,001 3,208 $116K
99152 2,252 2,065 $102K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 425 373 $88K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 777 721 $77K
99215 Prolong outpt/office vis 500 466 $68K
99284 Emergency department visit for the evaluation and management, high severity 351 342 $64K
99254 218 212 $63K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,268 1,199 $62K
99443 2,579 2,485 $55K
99307 996 673 $38K
99442 2,335 2,212 $36K
99309 Subsequent nursing facility care, per day, low to moderate complexity 498 407 $35K
93458 114 70 $24K
99460 263 248 $23K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 503 494 $23K
43235 60 57 $20K
99244 Office or other outpatient consultation, moderate to high complexity 55 55 $19K
93000 489 486 $16K
93356 571 522 $16K
99305 120 111 $14K
99253 80 80 $14K
93454 44 44 $14K
99205 Prolong outpt/office vis 83 70 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 126 125 $11K
99221 153 142 $10K
95806 57 55 $9K
99220 157 139 $9K
99242 36 36 $9K
99306 Prolong nursin fac eval 15m 44 42 $7K
94727 400 393 $6K
43259 25 25 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 841 804 $5K
93018 203 190 $5K
94729 399 392 $4K
93308 219 183 $4K
43274 12 12 $4K
94010 218 215 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 99 98 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 33 33 $3K
74328 41 41 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 13 12 $3K
99462 98 78 $2K
90962 24 24 $2K
99448 146 139 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 130 129 $2K
99219 30 28 $2K
99316 13 13 $1K
93312 12 12 $1K
99423 94 87 $999.57
75572 13 12 $866.85
99441 88 80 $830.34
99490 Ccm add 20min 986 935 $761.68
99381 18 15 $639.64
99251 16 16 $593.50
76604 22 15 $475.46
90834 Psychotherapy, 45 minutes with patient 14 12 $387.35
93325 65 58 $340.84
99449 14 14 $326.00
99153 Mod sedat endo service >5yrs 416 242 $306.20
93290 12 12 $280.28
93321 31 25 $238.14
93016 12 12 $229.75
99406 14 14 $138.51
99439 206 191 $92.85
94760 138 136 $10.68
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 232 229 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 364 359 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 12 12 $0.00
4000F 14 14 $0.00