Special Care Ob/Gyn Associates INC

Special Care Ob/Gyn Associates INC was paid $3.89M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoSPECIAL CARE OB/GYN ASSOCIATES INC
BELLEVILLE, NJ 07109

33aNPI1831389717assigned 07/27/2007

33bProvider typeObstetrics & Gynecology Physician

28Total paid$3.89M

24GClaims89,359

24DCodes billed26

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New Jersey

Rank by total paid#11 of 186

Median peer was paid$75K

This provider vs. median52×

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	10,480	$460K
2019	11,203	$510K
2020	10,943	$519K
2021	15,121	$673K
2022	16,938	$691K
2023	13,778	$563K
2024incomplete	10,896	$475K

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	50%	49,916	35,690	$1.94M
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	15%	11,694	8,014	$597K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	11%	6,490	6,388	$410K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	8.4%	4,820	4,690	$326K
76830	Ultrasound, transvaginal	6.7%	4,147	2,674	$261K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.4%	2,228	2,023	$93K
99385		2.3%	1,299	1,222	$88K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	563	414	$37K
99386		<1%	472	456	$37K
99243		<1%	402	356	$19K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,825	1,637	$17K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	447	358	$16K

14 more codes

59430		<1%	272	$16K
99238	Hospital discharge day management, 30 minutes or less	<1%	365	$12K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	278	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	802	$6K
99204	Doctor's office visit, new patient (more involved)	<1%	48	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	76	$3K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	1,664	$2K
57454		<1%	12	$1K
81025		<1%	527	$1K
99401		<1%	44	$770.23
99441		<1%	24	$340.77
0502F		0%	620	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	15	$0.00
99000		0%	309	$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 officialJAIN, RATNAM (PARTNER)