Physician
Garden State Specialty Care, LLC
Garden State Specialty Care, LLC was paid $85K by Medicaid between Feb 2018 and Nov 2024, across 9 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 56% of everything it billed.
33Billing provider infoGARDEN STATE SPECIALTY CARE, LLC
NORTHFIELD, NJ 08225
NORTHFIELD, NJ 08225
33aNPI1851825947assigned 04/14/2017
33bProvider typeSurgery Physician
28Total paid$85K
24GClaims8,100
24DCodes billed9
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in New Jersey
Rank by total paid#26 of 82
Median peer was paid$8K
This provider vs. median11×
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 | 1,774 | $24K | |
| 2019 | 834 | $13K | |
| 2020 | 1,416 | $11K | |
| 2021 | 878 | $6K | |
| 2022 | 312 | $2K | |
| 2023 | 1,489 | $14K | |
| 2024incomplete | 1,397 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 56% | 3,382 | 2,351 | $47K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 41% | 4,454 | 3,084 | $35K |
| 99306 | Prolong nursin fac eval 15m | 2.2% | 113 | 107 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 20 | 12 | $399.50 |
| 99305 | <1% | 14 | 14 | $210.56 | |
| 99497 | <1% | 34 | 33 | $142.43 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 41 | 40 | $90.81 |
| 99406 | <1% | 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) | <1% | 29 | 28 | $36.27 |
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 officialMILLER, KIMBERLY (DIRECTOR OF RCM)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.