University Physician Associates of New Jersey INC
University Physician Associates of New Jersey INC was paid $36.64M by Medicaid between Jan 2018 and Nov 2024, across 92 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
NEWARK, NJ 07103
Next to other Allergy & Immunology Physician providers in New Jersey
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 57,489 | $3.12M |
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 | 23% | 73,379 | 68,667 | $8.53M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 107,065 | 40,461 | $7.33M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 10% | 14,527 | 6,572 | $3.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 39,271 | 37,686 | $3.07M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.3% | 178,512 | 127,260 | $1.94M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.8% | 19,777 | 8,674 | $1.74M |
| 99223 | Prolong inpt eval add15 m | 4.6% | 9,344 | 8,357 | $1.67M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.4% | 16,704 | 15,652 | $1.24M |
| 99222 | Initial hospital care, per day, moderate complexity | 2.9% | 8,992 | 8,075 | $1.07M |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 6,098 | 5,678 | $638K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.7% | 2,126 | 1,854 | $614K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.6% | 10,629 | 4,072 | $577K |
80 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.5% | 2,854 | $553K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.4% | 10,066 | $517K |
| 99285 | Emergency room visit (most serious) | 1.3% | 1,962 | $471K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 1,563 | $327K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 4,759 | $314K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 983 | $251K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,704 | $236K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,641 | $171K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 440 | $160K |
| 90961 | <1% | 1,057 | $141K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 963 | $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) | <1% | 4,001 | $116K |
| 99152 | <1% | 2,252 | $102K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 425 | $88K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 777 | $77K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 500 | $68K |
| 99284 | Emergency room visit (serious) | <1% | 351 | $64K |
| 99254 | <1% | 218 | $63K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,268 | $62K |
| 99443 | <1% | 2,579 | $55K | |
| 99307 | <1% | 996 | $38K | |
| 99442 | <1% | 2,335 | $36K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 498 | $35K |
| 93458 | <1% | 114 | $24K | |
| 99460 | <1% | 263 | $23K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 503 | $23K |
| 43235 | <1% | 60 | $20K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 55 | $19K |
| 93000 | <1% | 489 | $16K | |
| 93356 | <1% | 571 | $16K | |
| 99305 | <1% | 120 | $14K | |
| 99253 | <1% | 80 | $14K | |
| 93454 | <1% | 44 | $14K | |
| 99205 | Prolong outpt/office vis | <1% | 83 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 126 | $11K |
| 99221 | <1% | 153 | $10K | |
| 95806 | <1% | 57 | $9K | |
| 99220 | <1% | 157 | $9K | |
| 99242 | <1% | 36 | $9K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 44 | $7K |
| 94727 | <1% | 400 | $6K | |
| 43259 | <1% | 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) | <1% | 841 | $5K |
| 93018 | <1% | 203 | $5K | |
| 94729 | <1% | 399 | $4K | |
| 93308 | <1% | 219 | $4K | |
| 43274 | <1% | 12 | $4K | |
| 94010 | <1% | 218 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 99 | $3K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 33 | $3K |
| 74328 | <1% | 41 | $3K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 13 | $3K |
| 99462 | <1% | 98 | $2K | |
| 90962 | <1% | 24 | $2K | |
| 99448 | <1% | 146 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 130 | $2K |
| 99219 | <1% | 30 | $2K | |
| 99316 | <1% | 13 | $1K | |
| 93312 | <1% | 12 | $1K | |
| 99423 | <1% | 94 | $999.57 | |
| 75572 | <1% | 13 | $866.85 | |
| 99441 | <1% | 88 | $830.34 | |
| 99490 | Ccm add 20min | <1% | 986 | $761.68 |
| 99381 | <1% | 18 | $639.64 | |
| 99251 | <1% | 16 | $593.50 | |
| 76604 | <1% | 22 | $475.46 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 14 | $387.35 |
| 93325 | <1% | 65 | $340.84 | |
| 99449 | <1% | 14 | $326.00 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 416 | $306.20 |
| 93290 | <1% | 12 | $280.28 | |
| 93321 | <1% | 31 | $238.14 | |
| 93016 | <1% | 12 | $229.75 | |
| 99406 | <1% | 14 | $138.51 | |
| 99439 | <1% | 206 | $92.85 | |
| 94760 | <1% | 138 | $10.68 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 232 | $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) | 0% | 364 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 12 | $0.00 |
| 4000F | 0% | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.