Physician
Consensus Medical Group LLC
Consensus Medical Group LLC was paid $4.10M by Medicaid between Jan 2019 and Nov 2024, across 109 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoCONSENSUS MEDICAL GROUP LLC
MANASQUAN, NJ 08736
MANASQUAN, NJ 08736
33aNPI1811466881assigned 11/19/2018
33bProvider typeOrthopaedic Surgery Physician
28Total paid$4.10M
24GClaims315,904
24DCodes billed109
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in New Jersey
Rank by total paid#4 of 61
Median peer was paid$50K
This provider vs. median82×
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 | |
|---|---|---|---|
| 2019 | 5,176 | $38K | |
| 2020 | 9,043 | $182K | |
| 2021 | 20,421 | $435K | |
| 2022 | 91,845 | $1.10M | |
| 2023 | 116,206 | $1.35M | |
| 2024incomplete | 73,213 | $990K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 48,302 | 42,041 | $2.08M |
| 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 | 16% | 17,354 | 14,222 | $638K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.2% | 24,853 | 12,069 | $213K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 2,382 | 2,349 | $158K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 2,466 | 2,333 | $115K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 3,994 | 3,080 | $112K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 2,621 | 2,334 | $105K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.0% | 8,262 | 5,012 | $81K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 1,371 | 1,301 | $64K |
| 92587 | 1.3% | 5,791 | 4,895 | $53K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 6,176 | 5,283 | $47K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 1,028 | 947 | $44K |
97 more codes
| 90461 | <1% | 11,752 | $33K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,799 | $30K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,404 | $30K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,451 | $28K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,913 | $28K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 300 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 706 | $21K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 560 | $19K |
| 90686 | <1% | 3,112 | $15K | |
| 90671 | <1% | 131 | $10K | |
| 99223 | Prolong inpt eval add15 m | <1% | 230 | $10K |
| 3008F | <1% | 34,741 | $9K | |
| 90670 | <1% | 613 | $8K | |
| 96127 | <1% | 3,525 | $8K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 836 | $8K |
| 99306 | Prolong nursin fac eval 15m | <1% | 226 | $7K |
| 90710 | <1% | 195 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 603 | $7K |
| 90734 | <1% | 191 | $6K | |
| 87428 | <1% | 147 | $6K | |
| 97802 | <1% | 920 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,258 | $5K |
| 99051 | <1% | 3,739 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 307 | $4K |
| 90651 | <1% | 52 | $3K | |
| 72082 | <1% | 85 | $3K | |
| 94010 | <1% | 398 | $3K | |
| 99401 | <1% | 176 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 300 | $3K |
| 94726 | <1% | 188 | $3K | |
| 94729 | <1% | 166 | $3K | |
| 99177 | <1% | 867 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 132 | $2K |
| 99349 | <1% | 357 | $2K | |
| 99173 | <1% | 4,066 | $2K | |
| 90674 | <1% | 126 | $2K | |
| 90661 | <1% | 378 | $2K | |
| 90633 | <1% | 382 | $2K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 12 | $2K |
| 73610 | <1% | 72 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 127 | $1K |
| 92551 | <1% | 254 | $1K | |
| 90698 | <1% | 297 | $1K | |
| 0071A | <1% | 40 | $1K | |
| 90723 | <1% | 218 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 140 | $1K |
| 90715 | <1% | 100 | $975.23 | |
| 0072A | <1% | 43 | $960.00 | |
| 90688 | <1% | 78 | $848.28 | |
| 36416 | <1% | 113 | $815.40 | |
| 73630 | <1% | 42 | $797.04 | |
| 0002A | <1% | 16 | $640.00 | |
| 90656 | <1% | 55 | $608.82 | |
| 90648 | <1% | 418 | $581.74 | |
| 0003A | <1% | 13 | $520.00 | |
| 92558 | <1% | 184 | $424.45 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 18 | $352.49 |
| 99305 | <1% | 87 | $337.48 | |
| 73100 | <1% | 15 | $307.41 | |
| 90662 | <1% | 143 | $281.80 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 42 | $278.52 |
| 96161 | <1% | 156 | $197.32 | |
| 81002 | <1% | 1,248 | $181.45 | |
| 87807 | <1% | 52 | $166.60 | |
| 93000 | <1% | 25 | $137.60 | |
| 99000 | <1% | 1,816 | $125.85 | |
| 90696 | <1% | 19 | $101.40 | |
| 90700 | <1% | 17 | $48.10 | |
| G0008 | Administration of influenza virus vaccine | <1% | 222 | $29.58 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $9.32 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 129 | $7.45 |
| 1159F | <1% | 21,403 | $6.19 | |
| 1036F | 0% | 19,009 | $0.00 | |
| 3079F | 0% | 3,029 | $0.00 | |
| 3044F | 0% | 1,497 | $0.00 | |
| 3074F | 0% | 14,382 | $0.00 | |
| 3075F | 0% | 785 | $0.00 | |
| 1123F | 0% | 21 | $0.00 | |
| 1034F | 0% | 642 | $0.00 | |
| 1125F | 0% | 1,315 | $0.00 | |
| 1126F | 0% | 1,852 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 132 | $0.00 |
| 00000 | 0% | 28 | $0.00 | |
| 90744 | 0% | 19 | $0.00 | |
| 3080F | 0% | 136 | $0.00 | |
| 90680 | 0% | 61 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 22 | $0.00 |
| 1101F | 0% | 25 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 15 | $0.00 |
| 3078F | 0% | 10,755 | $0.00 | |
| 1160F | 0% | 21,370 | $0.00 | |
| 3725F | 0% | 1,640 | $0.00 | |
| 3077F | 0% | 421 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 48 | $0.00 |
| 80061 | Lipid panel | 0% | 15 | $0.00 |
| 99072 | 0% | 103 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 22 | $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 officialFEINGOLD, MARC (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| CMG Medical Group I LLC | Manalapan, NJ | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.