Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SM MEDICAL, LLC

NPI: 1932562907 · BLOOMFIELD, NJ 07003 · Internal Medicine Physician · NPI assigned 03/29/2016

$4.98M
Total Medicaid Paid
229,949
Total Claims
145,579
Beneficiaries
75
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSAMUEL, RAMEZ (CO-OWNER)
NPI Enumeration Date03/29/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,058 $568K
2019 25,050 $648K
2020 29,194 $715K
2021 31,435 $771K
2022 36,000 $769K
2023 40,797 $831K
2024 42,415 $674K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,660 18,209 $963K
99233 Prolong inpt eval add15 m 29,024 7,009 $961K
99310 Prolong nursin fac eval 15m 14,315 3,939 $950K
99309 Subsequent nursing facility care, per day, low to moderate complexity 27,077 8,434 $383K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,875 2,591 $316K
99401 13,198 10,882 $282K
99223 Prolong inpt eval add15 m 4,471 3,964 $235K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,465 3,084 $116K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,088 9,634 $110K
99239 Hospital discharge day management, more than 30 minutes 3,247 2,911 $103K
99232 Subsequent hospital care, per day, moderate complexity 6,512 1,310 $69K
J1040 Injection, methylprednisolone acetate, 80 mg 4,400 3,865 $65K
99308 Subsequent nursing facility care, per day, straightforward 3,237 1,856 $59K
99306 Prolong nursin fac eval 15m 1,259 1,158 $56K
93922 2,375 2,234 $52K
93000 3,100 2,926 $33K
99254 187 157 $29K
92540 733 657 $20K
92546 724 649 $18K
G0444 Annual depression screening, 5 to 15 minutes 2,223 2,160 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 263 249 $15K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 2,739 2,578 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 178 167 $13K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 262 242 $12K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 6,661 5,865 $8K
99347 208 134 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,147 4,477 $7K
99215 Prolong outpt/office vis 124 104 $7K
92537 792 660 $6K
93925 129 113 $6K
93880 194 172 $6K
99336 88 87 $5K
93970 145 129 $5K
90756 278 258 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 358 327 $4K
90674 226 218 $4K
J1010 Injection, methylprednisolone acetate, 1 mg 268 229 $4K
99349 85 68 $4K
99354 78 75 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $1K
99335 33 32 $1K
99222 Initial hospital care, per day, moderate complexity 39 37 $1K
99220 15 15 $769.32
99496 13 12 $656.98
99316 32 27 $458.77
99348 13 12 $401.56
99326 23 22 $378.92
99334 16 15 $371.39
99490 Ccm add 20min 300 300 $282.87
90688 17 17 $262.55
82962 451 370 $170.14
G0008 Administration of influenza virus vaccine 130 128 $148.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 70 65 $91.31
99072 1,036 913 $17.50
4004F 201 200 $0.00
3077F 1,767 1,417 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,404 6,846 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 4,133 2,928 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 2,508 2,116 $0.00
3078F 4,583 2,750 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 431 290 $0.00
G0030 Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user 67 53 $0.00
4040F 29 26 $0.00
3008F 12,669 10,134 $0.00
3079F 1,756 1,400 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 5,058 3,552 $0.00
3074F 4,306 2,738 $0.00
3080F 1,169 1,009 $0.00
1036F 1,416 1,345 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 1,542 1,332 $0.00
3075F 1,379 1,036 $0.00
G9231 Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period 298 64 $0.00
3044F 555 509 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 14 13 $0.00
3014F 69 61 $0.00