University Physician Associates of New Jersey INC
University Physician Associates of New Jersey INC was paid $4.76M by Medicaid between Jan 2018 and Oct 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
NEWARK, NJ 07103
Next to other Neurology with Special Qualifications in Child Neurology Physician providers in New Jersey
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 1,948 | $223K |
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 | 21% | 5,745 | 5,563 | $979K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 5,061 | 4,885 | $539K |
| 95951 | 11% | 2,238 | 1,114 | $520K | |
| 95886 | 11% | 2,066 | 1,657 | $520K | |
| 95913 | 10% | 1,253 | 1,134 | $499K | |
| 95720 | 9.3% | 3,467 | 1,794 | $444K | |
| 95912 | 4.9% | 647 | 628 | $231K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 815 | 784 | $221K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.4% | 2,515 | 1,323 | $160K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.7% | 1,011 | 910 | $128K |
| 99221 | 1.8% | 796 | 744 | $88K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.8% | 1,658 | 842 | $86K |
20 more codes
| 99223 | Prolong inpt eval add15 m | 1.5% | 439 | $72K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.2% | 203 | $56K |
| 95819 | 1.1% | 1,277 | $50K | |
| 99205 | Prolong outpt/office vis | <1% | 118 | $44K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 117 | $27K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 231 | $19K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 56 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 71 | $13K |
| 95816 | <1% | 205 | $11K | |
| 99245 | <1% | 33 | $10K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 68 | $8K |
| 76882 | <1% | 46 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 84 | $4K |
| 99285 | Emergency room visit (most serious) | <1% | 24 | $4K |
| 96127 | <1% | 362 | $3K | |
| 96119 | <1% | 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) | <1% | 163 | $717.91 |
| 94010 | <1% | 12 | $693.54 | |
| 94770 | <1% | 12 | $570.94 | |
| 99218 | <1% | 16 | $362.85 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.