Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Flemington › NPI 1851033146
Physician

Hunterdon Specialty Care, PC

Hunterdon Specialty Care, PC was paid $6K by Medicaid between Aug 2023 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.

33Billing provider infoHUNTERDON SPECIALTY CARE, PC
FLEMINGTON, NJ 08822
33aNPI1851033146assigned 04/08/2022
28Total paid$6K
24GClaims103
24DCodes billed4
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in New Jersey

Rank by total paid#8 of 11
Median peer was paid$20K
This provider vs. median0.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HOFFMAN, GUY controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
202331$1K
2024incomplete72$4K
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 64% 35 34 $4K
99205 Prolong outpt/office vis 26% 31 25 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 8.7% 25 15 $494.22
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) 1.2% 12 12 $70.20

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 officialHOFFMAN, GUY (CHIEF REVENUE OFFICER)
Parent organizationHUNTERDON SPECIALTY CARE, PC
Same official

Other billing entities under HOFFMAN, GUY

Full network →
ProviderLocationPaid
Hunterdon Medical CenterFlemington, NJ$684K
Hunterdon Primary Care, PCFlemington, NJ$507K
Hunterdon Specialty Care, PCFlemington, NJ$505K
Hunterdon Specialty Care, PCClinton, NJ$372K
Hunterdon Specialty Care, PCFlemington, NJ$195K
Hunterdon Primary Care, PCHampton, NJ$145K
Hunterdon Specialty Care, PCFlemington, NJ$135K
Hunterdon Specialty Care, PCFlemington, NJ$128K
Hunterdon Specialty Care, PCFlemington, NJ$125K
Hunterdon Specialty Care, PCFlemington, NJ$86K
Hunterdon Specialty Care, PCFlemington, NJ$75K
Hunterdon Specialty Care, PCFlemington, NJ$71K
Hunterdon Specialty Care, PCPhillipsburg, NJ$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.