Physician
Surgical and Professional Services PC
Surgical and Professional Services PC was paid $1.16M by Medicaid between Jan 2018 and Feb 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoSURGICAL AND PROFESSIONAL SERVICES PC
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
33aNPI1891079893assigned 10/08/2011
33bProvider typeSurgery Physician
28Total paid$1.16M
24GClaims7,548
24DCodes billed14
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Surgery Physician providers in New Jersey
Rank by total paid#5 of 82
Median peer was paid$8K
This provider vs. median152×
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 | 2,515 | $420K | |
| 2019 | 1,713 | $298K | |
| 2020 | 1,834 | $251K | |
| 2021 | 1,211 | $179K | |
| 2022 | 170 | $7K | |
| 2023 | 93 | $4K | |
| 2024incomplete | 12 | $558.10 |
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 | 33% | 3,428 | 3,285 | $377K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 23% | 649 | 641 | $269K |
| 43775 | 18% | 162 | 162 | $203K | |
| 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 | 9.3% | 640 | 640 | $108K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.7% | 542 | 521 | $78K |
| 94690 | 5.0% | 1,115 | 1,095 | $58K | |
| 99205 | Prolong outpt/office vis | 3.4% | 191 | 191 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 252 | 241 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 29 | 29 | $3K |
| 99412 | <1% | 149 | 149 | $3K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 232 | 227 | $2K |
| 43235 | <1% | 46 | 45 | $886.69 |
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 officialPARAGI, PRAKASH (PRESIDENT)