Physician
Patient Care Medical Group PC
Patient Care Medical Group PC was paid $122K by Medicaid between Oct 2021 and Nov 2024, across 18 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 79% of everything it billed.
33Billing provider infoPATIENT CARE MEDICAL GROUP PC
WOODBURY, NJ 08096
WOODBURY, NJ 08096
33aNPI1891362364assigned 06/04/2021
33bProvider typeCardiovascular Disease Physician
28Total paid$122K
24GClaims16,213
24DCodes billed18
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in New Jersey
Rank by total paid#51 of 204
Median peer was paid$12K
This provider vs. median9.9×
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 | |
|---|---|---|---|
| 2021 | 31 | $729.39 | |
| 2022 | 901 | $10K | |
| 2023 | 4,752 | $35K | |
| 2024incomplete | 10,529 | $77K |
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 | 79% | 10,833 | 4,227 | $97K |
| 99310 | Prolong nursin fac eval 15m | 4.7% | 592 | 258 | $6K |
| 99454 | 2.9% | 626 | 517 | $4K | |
| 99457 | 2.5% | 832 | 677 | $3K | |
| 99305 | 1.9% | 244 | 197 | $2K | |
| 97803 | 1.9% | 460 | 161 | $2K | |
| 99490 | Ccm add 20min | 1.7% | 912 | 767 | $2K |
| 99348 | 1.5% | 317 | 148 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.3% | 126 | 56 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 78 | 65 | $1K |
| 97802 | <1% | 77 | 16 | $551.25 | |
| 99347 | <1% | 72 | 38 | $484.36 |
6 more codes
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 254 | $329.26 |
| 99349 | <1% | 621 | $292.09 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 100 | $154.70 |
| 99439 | <1% | 24 | $145.83 | |
| 99458 | <1% | 16 | $133.28 | |
| 99491 | Ccm add 20min | <1% | 29 | $88.91 |
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 officialPECORA, ANDREW (PRACTICE OWNER)
| Provider | Location | Paid |
|---|---|---|
| Patient Care Specialty Group PC | Edison, NJ | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.