Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › RED BANK › MERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC

MERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC

NPI: 1942362587 · RED BANK, NJ 07701 · Psychiatry Physician · NPI assigned 12/13/2006

$8.24M
Total Medicaid Paid
140,376
Total Claims
123,671
Beneficiaries
117
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCLARKE, JAMES (DIRECTOR)
NPI Enumeration Date12/13/2006

Related Entities

Other providers sharing the same authorized official: CLARKE, JAMES

ProviderCityStateTotal Paid
HACKENSACK MERIDIAN URGENT CARE, PC FREEHOLD NJ $3.58M
ABOVE AND BEYOND COMMUNITY SERVICES NAUGATUCK CT $1.83M
JAMES R. CLARKE, P.T.,P.A. ROCKVILLE MD $496K
MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC NEPTUNE NJ $398K
MERIDIAN PEDIATRIC SURGICAL ASSOCIATES, P.C. EATONTOWN NJ $44K
TOTAL PATIENT CARE LLC BRICK NJ $25K
MERIDIAN TRAUMA ASSOCIATES, P.C. NEPTUNE NJ $18K
EAR NOSE THROAT AND FACIAL PLASTIC SURGERY ASSOCIATES PC BRICK NJ $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31,447 $1.08M
2019 26,294 $1.56M
2020 21,954 $1.51M
2021 28,675 $2.17M
2022 26,758 $1.76M
2023 3,313 $90K
2024 1,935 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32,891 28,886 $2.70M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,398 34,549 $2.25M
59426 3,518 2,510 $779K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,887 2,854 $325K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,509 3,473 $324K
59425 1,644 1,319 $295K
76830 Ultrasound, transvaginal 1,547 1,500 $160K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,523 1,516 $152K
99215 Prolong outpt/office vis 1,099 1,031 $109K
99232 Subsequent hospital care, per day, moderate complexity 3,517 1,424 $91K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 95 94 $64K
D1120 Prophylaxis - child 2,066 2,063 $61K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 310 300 $58K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 636 622 $55K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,351 1,297 $54K
D1351 Sealant - per tooth 1,855 481 $46K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 806 799 $45K
D0120 Periodic oral evaluation - established patient 1,359 1,354 $37K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 694 418 $32K
D2930 Prefabricated stainless steel crown - primary tooth 340 174 $32K
20610 753 651 $29K
D1206 Topical application of fluoride varnish 2,293 2,289 $29K
59430 226 220 $28K
99385 291 287 $26K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,301 3,519 $25K
99223 Prolong inpt eval add15 m 507 482 $24K
99244 Office or other outpatient consultation, moderate to high complexity 167 167 $23K
D0272 Bitewings - two radiographic images 1,290 1,290 $23K
77067 Screening mammography, bilateral, including computer-aided detection 847 832 $19K
D0150 Comprehensive oral evaluation - new or established patient 345 345 $18K
99233 Prolong inpt eval add15 m 367 161 $16K
99386 144 143 $15K
D9920 408 387 $14K
81025 2,829 2,674 $13K
77063 Screening digital breast tomosynthesis, bilateral 730 714 $13K
99205 Prolong outpt/office vis 88 85 $12K
99284 Emergency department visit for the evaluation and management, high severity 100 98 $11K
99231 Subsequent hospital care, per day, straightforward or low complexity 476 393 $11K
45380 Colonoscopy, flexible; with biopsy, single or multiple 39 36 $11K
99497 535 467 $11K
59025 Fetal non-stress test 255 191 $11K
99222 Initial hospital care, per day, moderate complexity 173 163 $10K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 119 96 $10K
93000 841 817 $9K
D7140 Extraction, erupted tooth or exposed root 104 53 $9K
88142 851 849 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 147 127 $8K
D0140 Limited oral evaluation - problem focused 144 136 $7K
99443 111 99 $7K
D0240 1,271 1,271 $7K
95819 252 242 $6K
88150 886 873 $6K
20550 294 251 $6K
D1110 Prophylaxis - adult 121 121 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 68 66 $5K
D0603 1,006 1,000 $5K
36415 Collection of venous blood by venipuncture 1,595 1,531 $5K
99401 267 267 $4K
81002 6,184 5,440 $4K
95886 117 117 $4K
D9420 12 12 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 42 14 $4K
97803 91 81 $3K
97802 62 61 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 295 278 $3K
99441 223 220 $3K
99306 Prolong nursin fac eval 15m 92 85 $3K
64493 12 12 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 108 107 $2K
99234 28 25 $2K
76801 29 27 $2K
99442 102 100 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 82 71 $2K
D0601 114 114 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 606 556 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 20 13 $1K
64494 15 12 $1K
76819 Fetal biophysical profile; without non-stress testing 59 47 $1K
99354 12 12 $1K
81000 513 432 $962.02
93016 42 41 $802.26
90686 52 52 $799.50
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 45 42 $783.88
99239 Hospital discharge day management, more than 30 minutes 14 14 $713.93
99238 Hospital discharge day management, 30 minutes or less 13 12 $688.96
D0330 Panoramic radiographic image 12 12 $657.72
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 50 50 $648.50
99310 Prolong nursin fac eval 15m 47 40 $628.08
93018 40 39 $599.65
77066 Tomosynthesis, mammo 26 26 $597.66
97810 35 13 $523.05
90715 13 13 $494.09
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 425 354 $436.80
76642 16 14 $420.84
D0602 42 42 $420.00
99152 12 12 $353.93
G0008 Administration of influenza virus vaccine 21 21 $306.91
77065 Tomosynthesis, mammo 12 12 $306.26
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 15 13 $261.38
99337 18 17 $214.92
99349 14 13 $205.26
93228 16 14 $197.47
J1050 Injection, medroxyprogesterone acetate, 1 mg 39 39 $115.50
99336 27 19 $107.39
95816 13 13 $90.00
82962 149 140 $73.10
77062 16 13 $49.44
99000 172 165 $6.00
G8482 Influenza immunization administered or previously received 102 99 $0.00
D0220 Intraoral - periapical first radiographic image 365 361 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 266 253 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 197 153 $0.00
0502F 33 26 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 3,033 2,779 $0.00
36416 656 631 $0.00
D0230 Intraoral - periapical each additional radiographic image 212 209 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $0.00