Physician
Atco Medical Associates, PC Dba 1ST Care Medical Arts
Atco Medical Associates, PC Dba 1ST Care Medical Arts was paid $180K by Medicaid between Jan 2018 and Apr 2023, across 27 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 49% of everything it billed.
33Billing provider infoATCO MEDICAL ASSOCIATES, PC DBA 1ST CARE MEDICAL ARTS
WEST BERLIN, NJ 08091
WEST BERLIN, NJ 08091
33aNPI1922137819assigned 03/05/2007
33bProvider typeInternal Medicine Physician
28Total paid$180K
24GClaims10,000
24DCodes billed27
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#252 of 1,027
Median peer was paid$30K
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2018 | 4,905 | $89K | |
| 2019 | 1,867 | $39K | |
| 2020 | 1,338 | $24K | |
| 2021 | 1,016 | $17K | |
| 2022 | 680 | $9K | |
| 2023 | 194 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 49% | 1,511 | 1,401 | $89K |
| 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 | 26% | 860 | 820 | $46K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 7.1% | 2,054 | 1,826 | $13K |
| 94010 | 4.1% | 547 | 541 | $7K | |
| 93000 | 2.6% | 651 | 645 | $5K | |
| 94060 | 2.1% | 172 | 155 | $4K | |
| 99406 | 1.8% | 798 | 729 | $3K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 1.6% | 1,650 | 1,515 | $3K |
| 92552 | 1.4% | 221 | 216 | $2K | |
| 92570 | 1.1% | 194 | 189 | $2K | |
| 96103 | <1% | 189 | 188 | $1K | |
| 90674 | <1% | 63 | 63 | $1K |
15 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 62 | $813.64 |
| 99497 | <1% | 12 | $598.08 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 119 | $518.61 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 79 | $408.94 |
| 96127 | <1% | 202 | $311.84 | |
| 90688 | <1% | 24 | $258.90 | |
| 99173 | <1% | 80 | $64.20 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 72 | $0.00 |
| 1036F | 0% | 116 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 16 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 14 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 106 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 137 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 34 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 17 | $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 officialROMANO, REGINA (BILLING MANAGER)