NP / PA
RWJBH Emergency Medicine Associates, LLC
RWJBH Emergency Medicine Associates, LLC was paid $117.96M by Medicaid between Nov 2020 and Dec 2024, across 41 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
33Billing provider infoRWJBH EMERGENCY MEDICINE ASSOCIATES, LLC
SOMERSET, NJ 08873
SOMERSET, NJ 08873
33aNPI1912510041assigned 08/28/2020
33bProvider typePrimary Care Nurse Practitioner
28Total paid$117.96M
24GClaims1,080,659
24DCodes billed41
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Primary Care Nurse Practitioner providers in New Jersey
Rank by total paid#1 of 12
Median peer was paid$8K
This provider vs. median13,970×
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 | |
|---|---|---|---|
| 2020 | 14,602 | $530K | |
| 2021 | 214,708 | $10.85M | |
| 2022 | 222,569 | $14.07M | |
| 2023 | 304,257 | $43.36M | |
| 2024incomplete | 324,523 | $49.15M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 44% | 354,615 | 337,537 | $52.18M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 37% | 284,666 | 269,273 | $43.53M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.2% | 129,861 | 124,535 | $7.32M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.8% | 81,429 | 29,314 | $5.65M |
| 99223 | Prolong inpt eval add15 m | 2.2% | 19,358 | 17,435 | $2.64M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.5% | 8,354 | 6,289 | $1.74M |
| 99236 | Prolong inpt eval add15 m | 1.4% | 5,389 | 5,050 | $1.65M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.3% | 58,579 | 20,302 | $1.54M |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 8,429 | 7,569 | $774K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,843 | 2,545 | $325K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 4,093 | 3,743 | $209K |
| 99497 | <1% | 3,689 | 3,072 | $122K |
29 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 4,024 | $80K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,151 | $48K |
| 99235 | <1% | 131 | $34K | |
| 93042 | <1% | 13,827 | $21K | |
| 99053 | <1% | 83,937 | $19K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 7,058 | $17K |
| 99221 | <1% | 192 | $15K | |
| 99254 | <1% | 72 | $13K | |
| 99253 | <1% | 175 | $11K | |
| 99220 | <1% | 297 | $7K | |
| 99251 | <1% | 177 | $7K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 226 | $4K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 309 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $4K |
| 99252 | <1% | 54 | $3K | |
| 99219 | <1% | 141 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 200 | $2K |
| 99498 | <1% | 38 | $1K | |
| 69210 | <1% | 17 | $608.09 | |
| 99407 | <1% | 27 | $565.30 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 31 | $512.96 |
| 99217 | <1% | 44 | $447.62 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 41 | $176.17 |
| 93308 | <1% | 14 | $90.91 | |
| 1123F | <1% | 6,245 | $0.06 | |
| 4124F | 0% | 78 | $0.00 | |
| G8806 | Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented | 0% | 93 | $0.00 |
| G8709 | Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) | 0% | 13 | $0.00 |
| G8708 | Patient not prescribed antibiotic | 0% | 711 | $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 officialANDERSON, RURIC (VICE PRESIDENT, SUPPORT SERVICE)
| Provider | Location | Paid |
|---|---|---|
| RWJBH Observation Associates LLC | Livingston, NJ | $15.93M |
| Trinitas Physicians Practice, LLC | Elizabeth, NJ | $6.51M |
| Rutgers Health-Rwj Primary Medicine Group | Somerset, NJ | $2.73M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.