Peter Caride MD LLC

Peter Caride MD LLC was paid $784K by Medicaid between Jan 2018 and Mar 2024, across 21 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 42% of everything it billed.

33Billing provider infoPETER CARIDE MD LLC
NORTH BERGEN, NJ 07047

33aNPI1932219573assigned 08/30/2006

33bProvider typeGastroenterology Physician

28Total paid$784K

24GClaims25,027

24DCodes billed21

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Gastroenterology Physician providers in New Jersey

Rank by total paid#8 of 150

Median peer was paid$27K

This provider vs. median30×

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	2,970	$141K
2019	2,579	$102K
2020	4,510	$85K
2021	4,334	$129K
2022	3,977	$137K
2023	5,013	$153K
2024incomplete	1,644	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	42%	2,633	2,520	$330K
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	19%	4,803	4,555	$152K
99244	Office or other outpatient consultation, moderate to high complexity	9.0%	811	811	$71K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	8.5%	1,156	1,083	$66K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	8.0%	6,505	2,015	$63K
45380	Colonoscopy, flexible; with biopsy, single or multiple	4.0%	268	255	$32K
99222	Initial hospital care, per day, moderate complexity	3.3%	2,094	1,955	$26K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	839	806	$20K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	1.1%	73	62	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	149	135	$6K
99254		<1%	52	52	$5K
99490	Ccm add 20min	<1%	3,048	2,490	$1K

9 more codes

99439		<1%	1,091	$1K
88312		<1%	18	$753.53
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	<1%	989	$721.75
88313		<1%	18	$522.72
99454		<1%	90	$235.07
99453		<1%	26	$98.60
99487	Ccm add 20min	0%	281	$0.00
88305	Level IV - Surgical pathology, gross and microscopic examination	0%	70	$0.00
99457		0%	13	$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 officialCARIDE, PETER (OWNER)