Physician
Saint Peter's Specialty Physicians, P.C.
Saint Peter's Specialty Physicians, P.C. was paid $877K by Medicaid between Apr 2019 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoSAINT PETER'S SPECIALTY PHYSICIANS, P.C.
LAKEWOOD, NJ 08701
LAKEWOOD, NJ 08701
33aNPI1861894982assigned 09/19/2014
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$877K
24GClaims25,629
24DCodes billed22
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in New Jersey
Rank by total paid#9 of 22
Median peer was paid$394K
This provider vs. median2.2×
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 | 311 | $32K | |
| 2020 | 409 | $42K | |
| 2021 | 763 | $79K | |
| 2022 | 1,807 | $89K | |
| 2023 | 7,317 | $159K | |
| 2024incomplete | 15,022 | $476K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 4,784 | 4,626 | $384K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 29% | 2,161 | 2,106 | $257K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.6% | 1,049 | 1,025 | $76K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 1,557 | 1,497 | $69K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 394 | 377 | $30K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.6% | 171 | 168 | $22K |
| 99205 | Prolong outpt/office vis | 1.9% | 163 | 156 | $17K |
| 69210 | <1% | 276 | 258 | $5K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 37 | 37 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 143 | 140 | $3K |
| 3008F | <1% | 4,674 | 4,480 | $3K | |
| 31575 | <1% | 41 | 36 | $2K |
10 more codes
| 99442 | <1% | 75 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $920.49 |
| 99443 | <1% | 19 | $460.48 | |
| 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% | 122 | $263.82 |
| 1160F | <1% | 2,541 | $7.00 | |
| 1159F | <1% | 2,541 | $7.00 | |
| 99024 | <1% | 255 | $4.00 | |
| 3074F | <1% | 965 | $2.00 | |
| 3078F | <1% | 956 | $2.00 | |
| 1036F | 0% | 2,678 | $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 officialKNOWLES, STACEY (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Saint Peter's University Hospital | New Brunswick, NJ | $186K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.