Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Toms River Addiction Medicine

Toms River Addiction Medicine was paid $2.14M by Medicaid between Jan 2021 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoTOMS RIVER ADDICTION MEDICINE
TOMS RIVER, NJ 08753
33aNPI1801472063assigned 03/19/2021
28Total paid$2.14M
24GClaims52,507
24DCodes billed6
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Addiction Medicine (Internal Medicine) Physician providers in New Jersey

Rank by total paid#1 of 6
Median peer was paid$53K
This provider vs. median40×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20217,738$152K
202226,574$711K
202313,656$818K
2024incomplete4,539$463K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 55% 18,520 8,147 $1.18M
H0006 Alcohol and/or drug services; case management 33% 18,017 9,049 $717K
90792 Psychiatric diagnostic evaluation with medical services 9.5% 1,261 540 $203K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.3% 326 282 $29K
96138 <1% 14,237 4,809 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 146 64 $248.30

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 officialCOMERCI, THOMAS (PHYSICIAN OWNER)