Physician
Meridian Medical Group - Specialty Care, PC
Meridian Medical Group - Specialty Care, PC was paid $8.24M by Medicaid between Jan 2018 and Nov 2024, across 117 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoMERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC
RED BANK, NJ 07701
RED BANK, NJ 07701
33aNPI1942362587assigned 12/13/2006
33bProvider typePsychiatry Physician
28Total paid$8.24M
24GClaims140,376
24DCodes billed117
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychiatry Physician providers in New Jersey
Rank by total paid#3 of 130
Median peer was paid$19K
This provider vs. median443×
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 | 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 | |
| 2024incomplete | 1,935 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 32,891 | 28,886 | $2.70M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 38,398 | 34,549 | $2.25M |
| 59426 | 9.5% | 3,518 | 2,510 | $779K | |
| 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 | 3.9% | 2,887 | 2,854 | $325K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.9% | 3,509 | 3,473 | $324K |
| 59425 | 3.6% | 1,644 | 1,319 | $295K | |
| 76830 | Ultrasound, transvaginal | 1.9% | 1,547 | 1,500 | $160K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.8% | 1,523 | 1,516 | $152K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 1,099 | 1,031 | $109K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 3,517 | 1,424 | $91K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 95 | 94 | $64K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 2,066 | 2,063 | $61K |
105 more codes
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 310 | $58K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 636 | $55K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,351 | $54K |
| D1351 | Sealant - per tooth | <1% | 1,855 | $46K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 806 | $45K |
| D0120 | Dental checkup, returning patient | <1% | 1,359 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 694 | $32K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 340 | $32K |
| 20610 | <1% | 753 | $29K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,293 | $29K |
| 59430 | <1% | 226 | $28K | |
| 99385 | <1% | 291 | $26K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,301 | $25K |
| 99223 | Prolong inpt eval add15 m | <1% | 507 | $24K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 167 | $23K |
| D0272 | Bitewings - two radiographic images | <1% | 1,290 | $23K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 847 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 345 | $18K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 367 | $16K |
| 99386 | <1% | 144 | $15K | |
| D9920 | <1% | 408 | $14K | |
| 81025 | <1% | 2,829 | $13K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 730 | $13K |
| 99205 | Prolong outpt/office vis | <1% | 88 | $12K |
| 99284 | Emergency room visit (serious) | <1% | 100 | $11K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 476 | $11K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 39 | $11K |
| 99497 | <1% | 535 | $11K | |
| 59025 | Fetal non-stress test | <1% | 255 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 173 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 119 | $10K |
| 93000 | <1% | 841 | $9K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 104 | $9K |
| 88142 | <1% | 851 | $8K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 147 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 144 | $7K |
| 99443 | <1% | 111 | $7K | |
| D0240 | <1% | 1,271 | $7K | |
| 95819 | <1% | 252 | $6K | |
| 88150 | <1% | 886 | $6K | |
| 20550 | <1% | 294 | $6K | |
| D1110 | Prophylaxis - adult | <1% | 121 | $6K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 68 | $5K |
| D0603 | <1% | 1,006 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,595 | $5K |
| 99401 | <1% | 267 | $4K | |
| 81002 | <1% | 6,184 | $4K | |
| 95886 | <1% | 117 | $4K | |
| D9420 | <1% | 12 | $4K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 42 | $4K |
| 97803 | <1% | 91 | $3K | |
| 97802 | <1% | 62 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 295 | $3K |
| 99441 | <1% | 223 | $3K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 92 | $3K |
| 64493 | <1% | 12 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 108 | $2K |
| 99234 | <1% | 28 | $2K | |
| 76801 | <1% | 29 | $2K | |
| 99442 | <1% | 102 | $2K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 82 | $2K |
| D0601 | <1% | 114 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 606 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | $1K |
| 64494 | <1% | 15 | $1K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 59 | $1K |
| 99354 | <1% | 12 | $1K | |
| 81000 | <1% | 513 | $962.02 | |
| 93016 | <1% | 42 | $802.26 | |
| 90686 | <1% | 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 | <1% | 45 | $783.88 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $713.93 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $688.96 |
| D0330 | Panoramic radiographic image | <1% | 12 | $657.72 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | $648.50 |
| 99310 | Prolong nursin fac eval 15m | <1% | 47 | $628.08 |
| 93018 | <1% | 40 | $599.65 | |
| 77066 | Tomosynthesis, mammo | <1% | 26 | $597.66 |
| 97810 | <1% | 35 | $523.05 | |
| 90715 | <1% | 13 | $494.09 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 425 | $436.80 |
| 76642 | <1% | 16 | $420.84 | |
| D0602 | <1% | 42 | $420.00 | |
| 99152 | <1% | 12 | $353.93 | |
| G0008 | Administration of influenza virus vaccine | <1% | 21 | $306.91 |
| 77065 | Tomosynthesis, mammo | <1% | 12 | $306.26 |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | <1% | 15 | $261.38 |
| 99337 | <1% | 18 | $214.92 | |
| 99349 | <1% | 14 | $205.26 | |
| 93228 | <1% | 16 | $197.47 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 39 | $115.50 |
| 99336 | <1% | 27 | $107.39 | |
| 95816 | <1% | 13 | $90.00 | |
| 82962 | <1% | 149 | $73.10 | |
| 77062 | <1% | 16 | $49.44 | |
| 99000 | <1% | 172 | $6.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 102 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 365 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 266 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 197 | $0.00 |
| 0502F | 0% | 33 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,033 | $0.00 |
| 36416 | 0% | 656 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 212 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 12 | $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 officialCLARKE, JAMES (DIRECTOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.