Medicaid Provider Spending

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

UNION SQUARE MEDICAL ASSOCIATES, PC

NPI: 1790826287 · ELIZABETH, NJ 07201 · Family Medicine Physician · NPI assigned 02/09/2007

$1.06M
Total Medicaid Paid
108,711
Total Claims
101,279
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMUNOZ, GUILLERMO (PRESIDENT)
NPI Enumeration Date02/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 24,577 $168K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,838 12,873 $450K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,905 12,890 $438K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,074 1,048 $87K
90682 580 557 $20K
93000 1,921 1,860 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 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 1,001 947 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 94 92 $7K
90662 645 635 $5K
96127 1,763 1,648 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 286 281 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 49 46 $4K
90673 38 38 $2K
99497 1,319 1,278 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 16 $2K
94060 74 73 $1K
3078F 11,590 10,608 $1K
3074F 9,210 8,441 $1K
90686 58 58 $992.40
99443 41 41 $923.74
82962 1,167 1,106 $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) 238 218 $724.20
99490 Ccm add 20min 121 116 $440.80
G0444 Annual depression screening, 5 to 15 minutes 1,508 1,449 $356.31
3075F 3,576 3,344 $329.33
3008F 17,392 15,796 $319.00
3079F 3,141 2,919 $310.35
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $232.30
94762 26 25 $223.56
G0008 Administration of influenza virus vaccine 786 773 $206.86
3077F 2,571 2,392 $204.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,045 1,020 $140.53
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 17 16 $124.83
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27 24 $120.05
3080F 216 202 $27.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,464 1,429 $16.00
1157F 920 861 $7.00
1158F 926 868 $4.00
1125F 604 572 $3.00
1159F 1,183 1,121 $3.00
1123F 1,017 959 $2.00
1170F 723 688 $2.00
1124F 1,017 959 $2.00
1160F 1,129 1,071 $2.00
G8754 Most recent diastolic blood pressure < 90 mmhg 2,806 2,664 $0.00
1101F 947 890 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 390 379 $0.00
1126F 141 134 $0.00
1036F 56 53 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,891 2,767 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 2,352 2,257 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 28 28 $0.00
3725F 13 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 12 12 $0.00