Physician
Kusnierz, James
Kusnierz, James was paid $1.08M by Medicaid between Jan 2018 and Oct 2023, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoKUSNIERZ, JAMES
IRVINGTON, NJ 07111
IRVINGTON, NJ 07111
33aNPI1932269354assigned 12/08/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.08M
24GClaims30,870
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New Jersey
Rank by total paid#25 of 186
Median peer was paid$75K
This provider vs. median14×
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 | 6,592 | $237K | |
| 2019 | 5,480 | $194K | |
| 2020 | 5,753 | $166K | |
| 2021 | 5,758 | $199K | |
| 2022 | 4,907 | $184K | |
| 2023 | 2,380 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 8,312 | 6,541 | $341K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17% | 4,857 | 4,114 | $179K |
| 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 | 15% | 2,742 | 1,891 | $158K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 11% | 1,779 | 1,599 | $114K |
| 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 | 9.6% | 1,272 | 1,268 | $104K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 5.8% | 1,879 | 1,644 | $62K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.1% | 638 | 617 | $44K |
| 76801 | 2.2% | 309 | 272 | $23K | |
| 59410 | 1.3% | 12 | 12 | $14K | |
| 81025 | <1% | 2,297 | 2,278 | $7K | |
| 76830 | Ultrasound, transvaginal | <1% | 88 | 87 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 843 | 764 | $7K |
10 more codes
| 87210 | <1% | 2,650 | $6K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 45 | $4K |
| 81002 | <1% | 2,891 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 74 | $2K |
| 99241 | <1% | 13 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 25 | $898.14 |
| 59430 | <1% | 18 | $779.94 | |
| 87905 | <1% | 28 | $207.05 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 85 | $139.86 |
| 99024 | 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.