Falk, Theodore

Falk, Theodore was paid $43K by Medicaid between Mar 2023 and Oct 2024, across 3 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 69% of everything it billed.

33Billing provider infoFALK, THEODORE
RIVER EDGE, NJ 07661

33aNPI1912967464assigned 03/27/2006

33bProvider typeAllergy & Immunology Physician

28Total paid$43K

24GClaims2,090

24DCodes billed3

24AFirst – last monthMar 2023 – Oct 2024

Compared with peers

Next to other Allergy & Immunology Physician providers in New Jersey

Rank by total paid#33 of 51

Median peer was paid$208K

This provider vs. median0.2×

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
2023	918	$20K
2024incomplete	1,172	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	69%	961	344	$30K
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	16%	267	136	$7K
95117		15%	862	322	$7K

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.