Medicaid Provider Spending

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

UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC

NPI: 1902816507 · NEWARK, NJ 07103 · Neurology with Special Qualifications in Child Neurology Physician · NPI assigned 08/08/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HAIER, DAVID controls 17+ related entities in our dataset. Read more

$4.76M
Total Medicaid Paid
30,824
Total Claims
24,725
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHAIER, DAVID (CEO)
NPI Enumeration Date08/08/2006

Related Entities

Other providers sharing the same authorized official: HAIER, DAVID

ProviderCityStateTotal Paid
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $41.80M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $36.64M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $34.14M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $14.26M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $10.22M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $5.82M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $5.64M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $4.94M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $2.50M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $2.28M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $1.61M
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $852K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $746K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $669K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $467K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ $462K
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY, INC. NEWARK NJ $226K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,002 $1.30M
2019 5,775 $993K
2020 3,455 $481K
2021 3,850 $554K
2022 4,101 $477K
2023 4,693 $733K
2024 1,948 $223K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,745 5,563 $979K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,061 4,885 $539K
95951 2,238 1,114 $520K
95886 2,066 1,657 $520K
95913 1,253 1,134 $499K
95720 3,467 1,794 $444K
95912 647 628 $231K
99215 Prolong outpt/office vis 815 784 $221K
99232 Subsequent hospital care, per day, moderate complexity 2,515 1,323 $160K
99222 Initial hospital care, per day, moderate complexity 1,011 910 $128K
99221 796 744 $88K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,658 842 $86K
99223 Prolong inpt eval add15 m 439 394 $72K
95810 Polysomnography; sleep staging with 4 or more additional parameters 203 198 $56K
95819 1,277 1,225 $50K
99205 Prolong outpt/office vis 118 114 $44K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 117 112 $27K
99233 Prolong inpt eval add15 m 231 150 $19K
99244 Office or other outpatient consultation, moderate to high complexity 56 56 $17K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 71 68 $13K
95816 205 202 $11K
99245 33 33 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 68 68 $8K
76882 46 46 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 84 84 $4K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 24 24 $4K
96127 362 362 $3K
96119 15 15 $2K
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) 163 160 $717.91
94010 12 12 $693.54
94770 12 12 $570.94
99218 16 12 $362.85