Medicaid Provider Spending

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

HUNTERDON SPECIALTY CARE, PC

NPI: 1790156388 · FLEMINGTON, NJ 08822 · Gastroenterology Physician · NPI assigned 10/08/2015

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

Authorized official HOFFMAN, GUY controls 13+ related entities in our dataset. Read more

$75K
Total Medicaid Paid
778
Total Claims
740
Beneficiaries
6
Codes Billed
2018-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHOFFMAN, GUY (CHIEF REVENUE OFFICER)
NPI Enumeration Date10/08/2015

Related Entities

Other providers sharing the same authorized official: HOFFMAN, GUY

ProviderCityStateTotal Paid
HUNTERDON MEDICAL CENTER FLEMINGTON NJ $684K
HUNTERDON PRIMARY CARE, PC FLEMINGTON NJ $507K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $505K
HUNTERDON SPECIALTY CARE, PC CLINTON NJ $372K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $195K
HUNTERDON PRIMARY CARE, PC HAMPTON NJ $145K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $135K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $128K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $125K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $86K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $71K
HUNTERDON SPECIALTY CARE, PC FLEMINGTON NJ $6K
HUNTERDON SPECIALTY CARE, PC PHILLIPSBURG NJ $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39 $4K
2019 96 $9K
2020 72 $4K
2021 147 $14K
2022 249 $27K
2023 102 $9K
2024 73 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 566 540 $53K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 86 78 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 58 56 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $984.98
99442 43 42 $952.71