Medicaid Provider Spending

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

GARDEN STATE SPECIALTY CARE, LLC

NPI: 1851825947 · NORTHFIELD, NJ 08225 · Surgery Physician · NPI assigned 04/14/2017

$85K
Total Medicaid Paid
8,100
Total Claims
5,681
Beneficiaries
9
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, KIMBERLY (DIRECTOR OF RCM)
NPI Enumeration Date04/14/2017

Related Entities

Other providers sharing the same authorized official: MILLER, KIMBERLY

ProviderCityStateTotal Paid
ADVOCATES IN HOME HEALTH CARE PC TROY MI $450K
KHALID RAO MD PC TROY MI $250K
ALEXANDER MALAYEV MD PC CLAWSON MI $191K
DIVINE HOME CARE INC. BRISTOL VA $46K
365 HEALTH CARE GROUP PLC TROY MI $45K
BALANCE YOUR LIFE CHIROPRACTIC PC DEWITT MI $22K
BIP - BEHAVIOR INTERVENTION PROFESSIONALS OF THE TRIANGLE, PLLC CREEDMOOR NC $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,774 $24K
2019 834 $13K
2020 1,416 $11K
2021 878 $6K
2022 312 $2K
2023 1,489 $14K
2024 1,397 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,382 2,351 $47K
99308 Subsequent nursing facility care, per day, straightforward 4,454 3,084 $35K
99306 Prolong nursin fac eval 15m 113 107 $2K
99232 Subsequent hospital care, per day, moderate complexity 20 12 $399.50
99305 14 14 $210.56
99497 34 33 $142.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 41 40 $90.81
99406 13 12 $39.18
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 29 28 $36.27