Union Square Medical Associates, PC

Union Square Medical Associates, PC was paid $1.06M by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoUNION SQUARE MEDICAL ASSOCIATES, PC
ELIZABETH, NJ 07201

33aNPI1790826287assigned 02/09/2007

33bProvider typeFamily Medicine Physician

28Total paid$1.06M

24GClaims108,711

24DCodes billed55

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#26 of 414

Median peer was paid$28K

This provider vs. median38×

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	5,575	$147K
2019	8,756	$133K
2020	11,109	$127K
2021	7,858	$126K
2022	22,288	$165K
2023	28,548	$198K
2024incomplete	24,577	$168K

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	42%	13,838	12,873	$450K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	13,905	12,890	$438K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	8.2%	1,074	1,048	$87K
90682		1.9%	580	557	$20K
93000		<1%	1,921	1,860	$10K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	732	697	$10K
G0136	Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months	<1%	1,001	947	$9K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	94	92	$7K
90662		<1%	645	635	$5K
96127		<1%	1,763	1,648	$4K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	286	281	$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%	49	46	$4K

43 more codes

90673		<1%	38	$2K
99497		<1%	1,319	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	16	$2K
94060		<1%	74	$1K
3078F		<1%	11,590	$1K
3074F		<1%	9,210	$1K
90686		<1%	58	$992.40
99443		<1%	41	$923.74
82962		<1%	1,167	$759.78
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%	238	$724.20
99490	Ccm add 20min	<1%	121	$440.80
G0444	Annual depression screening, 5 to 15 minutes	<1%	1,508	$356.31
3075F		<1%	3,576	$329.33
3008F		<1%	17,392	$319.00
3079F		<1%	3,141	$310.35
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	$232.30
94762		<1%	26	$223.56
G0008	Administration of influenza virus vaccine	<1%	786	$206.86
3077F		<1%	2,571	$204.26
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	1,045	$140.53
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	17	$124.83
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	27	$120.05
3080F		<1%	216	$27.01
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,464	$16.00
1157F		<1%	920	$7.00
1158F		<1%	926	$4.00
1125F		<1%	604	$3.00
1159F		<1%	1,183	$3.00
1123F		<1%	1,017	$2.00
1170F		<1%	723	$2.00
1124F		<1%	1,017	$2.00
1160F		<1%	1,129	$2.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	2,806	$0.00
1101F		0%	947	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	390	$0.00
1126F		0%	141	$0.00
1036F		0%	56	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	12	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	2,891	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	2,352	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	28	$0.00
3725F		0%	13	$0.00
G9509	Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5	0%	12	$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 officialMUNOZ, GUILLERMO (PRESIDENT)