Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Englewood › NPI 1952681918
Physician

Medical Associates of Englewood, PC

Medical Associates of Englewood, PC was paid $36.95M by Medicaid between Jan 2018 and Dec 2024, across 290 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoMEDICAL ASSOCIATES OF ENGLEWOOD, PC
ENGLEWOOD, NJ 07631
33aNPI1952681918assigned 08/23/2011
28Total paid$36.95M
24GClaims2,474,267
24DCodes billed290
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#1 of 1,027
Median peer was paid$30K
This provider vs. median1,242×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201891,201$2.09M
2019121,540$2.96M
2020140,146$3.51M
2021221,361$5.57M
2022448,568$7.45M
2023789,288$8.41M
2024incomplete662,163$6.96M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 32% 348,753 316,537 $11.64M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 268,429 238,993 $7.43M
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 6.6% 40,909 38,556 $2.43M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.1% 150,818 45,651 $2.25M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.9% 29,440 27,997 $1.43M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.6% 46,107 43,944 $959K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.1% 8,962 8,152 $793K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 20,248 17,436 $789K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.0% 43,803 17,779 $748K
99308 Subsequent nursing facility care, per day, straightforward 1.5% 53,785 24,668 $552K
93000 1.4% 60,095 56,969 $533K
99223 Prolong inpt eval add15 m 1.4% 16,790 15,155 $527K
278 more codes
99244 Office or other outpatient consultation, moderate to high complexity <1% 2,768 $327K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 6,212 $324K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 28,616 $309K
93018 <1% 15,203 $295K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 2,997 $264K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 2,469 $240K
99205 Prolong outpt/office vis <1% 3,004 $180K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 8,639 $160K
99222 Initial hospital care, per day, moderate complexity <1% 6,930 $154K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 46,744 $151K
87428 <1% 3,929 $139K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 918 $136K
90682 <1% 4,174 $132K
90792 Psychiatric diagnostic evaluation with medical services <1% 548 $131K
97803 <1% 3,550 $127K
93016 <1% 14,436 $126K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 5,235 $114K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,027 $110K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,320 $108K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 7,116 $108K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 4,142 $108K
31231 <1% 1,637 $108K
20610 <1% 4,605 $98K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,548 $93K
11102 <1% 2,509 $88K
90834 Psychotherapy session, about 45 minutes <1% 1,736 $87K
31575 <1% 1,537 $87K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 211 $85K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 4,950 $84K
76819 Fetal biophysical profile; without non-stress testing <1% 2,850 $78K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 9,028 $57K
97802 <1% 1,207 $57K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 12,395 $56K
43775 <1% 104 $52K
99239 Hospital discharge day management, more than 30 minutes <1% 2,665 $48K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 22,228 $48K
99348 <1% 2,893 $48K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,026 $46K
99460 <1% 607 $43K
90686 <1% 3,361 $42K
11900 <1% 2,179 $42K
36415 Collection of venous blood by venipuncture <1% 36,136 $41K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 4,971 $39K
99385 <1% 1,099 $39K
94060 <1% 1,572 $37K
99386 <1% 727 $35K
93458 <1% 369 $34K
J1756 Injection, iron sucrose, 1 mg <1% 1,437 $33K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 684 $33K
99255 <1% 367 $32K
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% 3,250 $31K
90750 <1% 295 $31K
73562 <1% 1,569 $30K
73610 <1% 2,361 $30K
17110 <1% 1,062 $30K
11104 <1% 589 $30K
99306 Prolong nursin fac eval 15m <1% 1,747 $30K
99442 <1% 2,320 $29K
73630 <1% 2,364 $29K
73564 <1% 2,119 $28K
99238 Hospital discharge day management, 30 minutes or less <1% 700 $28K
72110 <1% 1,648 $27K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 9,667 $26K
99336 <1% 919 $26K
62323 <1% 400 $26K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 635 $26K
93295 <1% 2,202 $25K
93880 <1% 3,170 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,962 $23K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 722 $23K
93298 <1% 2,942 $23K
99254 <1% 183 $22K
90673 <1% 751 $22K
69210 <1% 1,968 $21K
76830 Ultrasound, transvaginal <1% 431 $21K
73110 <1% 1,344 $20K
11103 <1% 594 $20K
93299 <1% 1,679 $20K
93970 <1% 1,454 $20K
93297 <1% 3,821 $19K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 433 $18K
95816 <1% 390 $18K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose <1% 832 $18K
73030 <1% 1,573 $18K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 305 $17K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 178 $17K
72100 <1% 1,124 $17K
93925 <1% 2,341 $16K
80305 <1% 2,274 $15K
99152 <1% 1,389 $15K
90791 Psychiatric diagnostic evaluation <1% 371 $15K
95812 <1% 221 $14K
95251 <1% 1,817 $13K
95813 <1% 158 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 349 $13K
93227 <1% 671 $12K
93284 <1% 677 $12K
94729 <1% 816 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,948 $12K
99243 <1% 132 $11K
11721 <1% 2,179 $11K
99397 <1% 501 $10K
73130 <1% 858 $10K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 200 $10K
99441 <1% 991 $10K
46600 <1% 552 $10K
91320 <1% 231 $10K
93923 <1% 825 $10K
90662 <1% 2,562 $9K
72050 <1% 497 $9K
94726 <1% 550 $9K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each <1% 52 $9K
29581 <1% 279 $8K
82962 <1% 12,150 $8K
93280 <1% 945 $7K
99443 <1% 371 $7K
90688 <1% 785 $7K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 3,660 $7K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 68 $7K
51798 <1% 1,339 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 2,460 $6K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 944 $6K
75574 <1% 191 $6K
76813 <1% 152 $6K
97014 <1% 321 $5K
99245 <1% 44 $5K
99457 <1% 2,168 $5K
99403 <1% 289 $5K
93294 <1% 1,246 $5K
97035 <1% 250 $5K
93978 <1% 645 $5K
99310 Prolong nursin fac eval 15m <1% 331 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,983 $4K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 67 $4K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 3,893 $4K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 1,402 $4K
95811 <1% 54 $4K
76801 <1% 171 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 260 $4K
99305 <1% 197 $4K
51741 <1% 177 $4K
99454 <1% 1,190 $4K
73140 <1% 390 $4K
93296 <1% 653 $4K
72170 <1% 284 $3K
90480 <1% 222 $3K
99221 <1% 142 $3K
99402 <1% 182 $3K
97162 <1% 111 $3K
93282 <1% 168 $3K
20550 <1% 112 $3K
92557 <1% 172 $3K
93922 <1% 882 $3K
94727 <1% 238 $3K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 546 $3K
82947 <1% 1,574 $3K
90677 <1% 59 $3K
59514 <1% 12 $3K
90732 <1% 127 $3K
94660 <1% 277 $2K
92928 <1% 12 $2K
54150 <1% 28 $2K
95806 <1% 56 $2K
S9083 Global fee urgent care centers <1% 408 $2K
95886 <1% 66 $2K
G0008 Administration of influenza virus vaccine <1% 3,940 $2K
90715 <1% 55 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 266 $2K
99307 <1% 432 $2K
95923 <1% 42 $2K
72040 <1% 132 $2K
47379 <1% 18 $2K
99401 <1% 71 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 119 $1K
99490 Ccm add 20min <1% 138 $1K
90674 <1% 72 $1K
3074F <1% 235,481 $1K
90658 <1% 75 $1K
95921 <1% 44 $1K
99219 <1% 29 $1K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf <1% 26 $1K
99439 <1% 133 $1K
95910 <1% 14 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,431 $1K
99220 <1% 15 $1K
3078F <1% 208,992 $1K
99318 <1% 133 $978.98
73080 <1% 68 $917.04
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 53 $867.48
52000 <1% 48 $856.52
J1010 Injection, methylprednisolone acetate, 1 mg <1% 223 $823.64
90670 <1% 49 $821.21
94200 <1% 158 $793.34
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 50 $791.55
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 35 $760.81
96361 Intravenous infusion, hydration; each additional hour <1% 69 $748.87
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 247 $736.61
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 88 $727.23
72020 <1% 77 $695.97
99497 <1% 31 $687.80
J1040 Injection, methylprednisolone acetate, 80 mg <1% 166 $684.30
J7050 Infusion, normal saline solution, 250 cc <1% 1,118 $645.22
3079F <1% 106,386 $632.00
99344 <1% 13 $620.64
90656 <1% 41 $580.76
97535 Self-care/home management training, each 15 minutes <1% 112 $572.07
99283 Emergency room visit (moderate) <1% 33 $537.65
90837 Psychotherapy session, about an hour <1% 239 $531.05
93971 <1% 65 $517.67
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 18 $517.47
59025 Fetal non-stress test <1% 26 $502.76
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 566 $499.15
90472 Immunization administration, each additional vaccine (list separately) <1% 73 $495.09
99406 <1% 115 $494.99
96127 <1% 197 $465.39
99201 <1% 14 $450.78
93228 <1% 148 $413.76
36200 <1% 32 $409.75
93272 <1% 123 $394.86
G0444 Annual depression screening, 5 to 15 minutes <1% 119 $379.62
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) <1% 78 $379.31
81001 <1% 597 $341.04
81002 <1% 504 $320.18
93293 <1% 410 $319.92
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 802 $317.24
97161 <1% 18 $315.00
90687 <1% 61 $300.61
94664 <1% 49 $247.88
3075F <1% 46,600 $218.00
81025 <1% 69 $214.10
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report <1% 92 $204.72
97164 <1% 28 $183.54
3077F <1% 38,588 $174.00
75625 <1% 16 $163.20
73502 <1% 13 $150.84
17000 <1% 13 $143.96
93244 <1% 116 $134.38
98960 <1% 29 $129.42
L3923 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 28 $127.73
93356 <1% 19 $125.37
36416 <1% 657 $117.82
93246 <1% 14 $116.39
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 216 $113.49
75710 <1% 21 $108.85
1159F <1% 130,556 $107.22
G0009 Administration of pneumococcal vaccine <1% 225 $87.44
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 37 $86.79
3080F <1% 9,730 $73.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 13 $69.43
94150 <1% 222 $47.71
99453 <1% 31 $45.17
83036 Hemoglobin; glycosylated (A1C) <1% 13 $42.42
93926 <1% 140 $36.18
99024 <1% 6,222 $32.03
S9088 Services provided in an urgent care center (list in addition to code for service) <1% 379 $25.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 16 $17.08
3044F <1% 15,639 $15.00
J1815 Injection, insulin, per 5 units <1% 24 $6.79
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 88 $2.00
1123F 0% 2,139 $0.00
1170F 0% 562 $0.00
3324F 0% 518 $0.00
1111F 0% 73 $0.00
3052F 0% 43 $0.00
99000 0% 79 $0.00
3008F 0% 35 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 14 $0.00
4004F 0% 51,513 $0.00
1160F 0% 75,660 $0.00
3006F 0% 941 $0.00
3051F 0% 280 $0.00
1124F 0% 219 $0.00
3046F 0% 25 $0.00
3023F 0% 445 $0.00
0502F 0% 376 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 88 $0.00
G8845 Positive airway pressure therapy prescribed 0% 40 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 14 $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 officialCOHEN, HILLARY (MD)
Same official

Other billing entities under COHEN, HILLARY

Full network →
ProviderLocationPaid
Emergency Physicians of Englewood, PCEnglewood, NJ$2.39M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.