Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MEDICAL ASSOCIATES OF ENGLEWOOD, PC

NPI: 1952681918 · ENGLEWOOD, NJ 07631 · Internal Medicine Physician · NPI assigned 08/23/2011

$36.95M
Total Medicaid Paid
2,474,267
Total Claims
2,077,745
Beneficiaries
290
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOHEN, HILLARY (MD)
NPI Enumeration Date08/23/2011

Related Entities

Other providers sharing the same authorized official: COHEN, HILLARY

ProviderCityStateTotal Paid
EMERGENCY PHYSICIANS OF ENGLEWOOD, PC ENGLEWOOD NJ $2.39M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 91,201 $2.09M
2019 121,540 $2.96M
2020 140,146 $3.51M
2021 221,361 $5.57M
2022 448,568 $7.45M
2023 789,288 $8.41M
2024 662,163 $6.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 348,753 316,537 $11.64M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 268,429 238,993 $7.43M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40,909 38,556 $2.43M
99232 Subsequent hospital care, per day, moderate complexity 150,818 45,651 $2.25M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29,440 27,997 $1.43M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 46,107 43,944 $959K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 8,962 8,152 $793K
99215 Prolong outpt/office vis 20,248 17,436 $789K
99233 Prolong inpt eval add15 m 43,803 17,779 $748K
99308 Subsequent nursing facility care, per day, straightforward 53,785 24,668 $552K
93000 60,095 56,969 $533K
99223 Prolong inpt eval add15 m 16,790 15,155 $527K
99244 Office or other outpatient consultation, moderate to high complexity 2,768 2,764 $327K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 6,212 6,103 $324K
99309 Subsequent nursing facility care, per day, low to moderate complexity 28,616 15,899 $309K
93018 15,203 14,561 $295K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,997 2,724 $264K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2,469 2,285 $240K
99205 Prolong outpt/office vis 3,004 2,770 $180K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 8,639 8,256 $160K
99222 Initial hospital care, per day, moderate complexity 6,930 6,371 $154K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 46,744 42,205 $151K
87428 3,929 3,627 $139K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 918 820 $136K
90682 4,174 3,928 $132K
90792 Psychiatric diagnostic evaluation with medical services 548 514 $131K
97803 3,550 3,341 $127K
93016 14,436 13,813 $126K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,235 4,656 $114K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,027 2,760 $110K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,320 2,287 $108K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7,116 1,881 $108K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,142 3,732 $108K
31231 1,637 1,559 $108K
20610 4,605 2,950 $98K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,548 8,234 $93K
11102 2,509 2,307 $88K
90834 Psychotherapy, 45 minutes with patient 1,736 956 $87K
31575 1,537 1,421 $87K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 211 200 $85K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,950 4,412 $84K
76819 Fetal biophysical profile; without non-stress testing 2,850 1,839 $78K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,028 2,306 $57K
97802 1,207 1,158 $57K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,395 10,623 $56K
43775 104 93 $52K
99239 Hospital discharge day management, more than 30 minutes 2,665 2,328 $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) 22,228 19,706 $48K
99348 2,893 2,615 $48K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,026 866 $46K
99460 607 563 $43K
90686 3,361 3,240 $42K
11900 2,179 1,880 $42K
36415 Collection of venous blood by venipuncture 36,136 31,339 $41K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,971 2,189 $39K
99385 1,099 988 $39K
94060 1,572 1,395 $37K
99386 727 697 $35K
93458 369 349 $34K
J1756 Injection, iron sucrose, 1 mg 1,437 424 $33K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 684 673 $33K
99255 367 355 $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 3,250 3,014 $31K
90750 295 254 $31K
73562 1,569 1,457 $30K
73610 2,361 1,954 $30K
17110 1,062 884 $30K
11104 589 562 $30K
99306 Prolong nursin fac eval 15m 1,747 1,512 $30K
99442 2,320 1,961 $29K
73630 2,364 1,974 $29K
73564 2,119 1,841 $28K
99238 Hospital discharge day management, 30 minutes or less 700 658 $28K
72110 1,648 1,494 $27K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,667 7,413 $26K
99336 919 707 $26K
62323 400 359 $26K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 635 569 $26K
93295 2,202 2,056 $25K
93880 3,170 2,977 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,962 2,848 $23K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 722 575 $23K
93298 2,942 2,848 $23K
99254 183 182 $22K
90673 751 741 $22K
69210 1,968 1,801 $21K
76830 Ultrasound, transvaginal 431 417 $21K
73110 1,344 1,114 $20K
11103 594 561 $20K
93299 1,679 1,674 $20K
93970 1,454 1,356 $20K
93297 3,821 3,556 $19K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 433 421 $18K
95816 390 357 $18K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 832 358 $18K
73030 1,573 1,442 $18K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 305 262 $17K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 178 155 $17K
72100 1,124 1,050 $17K
93925 2,341 2,204 $16K
80305 2,274 2,096 $15K
99152 1,389 1,177 $15K
90791 Psychiatric diagnostic evaluation 371 347 $15K
95812 221 204 $14K
95251 1,817 1,678 $13K
95813 158 150 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 349 118 $13K
93227 671 627 $12K
93284 677 640 $12K
94729 816 725 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,948 1,831 $12K
99243 132 131 $11K
11721 2,179 2,069 $11K
99397 501 473 $10K
73130 858 710 $10K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 200 151 $10K
99441 991 847 $10K
46600 552 524 $10K
91320 231 203 $10K
93923 825 762 $10K
90662 2,562 2,391 $9K
72050 497 474 $9K
94726 550 481 $9K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 52 26 $9K
29581 279 226 $8K
82962 12,150 11,175 $8K
93280 945 887 $7K
99443 371 328 $7K
90688 785 752 $7K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,660 972 $7K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 68 64 $7K
51798 1,339 1,231 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,460 655 $6K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 944 448 $6K
75574 191 166 $6K
76813 152 149 $6K
97014 321 107 $5K
99245 44 44 $5K
99457 2,168 1,874 $5K
99403 289 246 $5K
93294 1,246 1,114 $5K
97035 250 79 $5K
93978 645 607 $5K
99310 Prolong nursin fac eval 15m 331 213 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,983 2,909 $4K
95810 Polysomnography; sleep staging with 4 or more additional parameters 67 65 $4K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 3,893 3,246 $4K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,402 1,333 $4K
95811 54 52 $4K
76801 171 154 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 260 209 $4K
99305 197 186 $4K
51741 177 169 $4K
99454 1,190 1,007 $4K
73140 390 334 $4K
93296 653 650 $4K
72170 284 270 $3K
90480 222 204 $3K
99221 142 123 $3K
99402 182 153 $3K
97162 111 97 $3K
93282 168 166 $3K
20550 112 92 $3K
92557 172 158 $3K
93922 882 831 $3K
94727 238 217 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 546 481 $3K
82947 1,574 1,485 $3K
90677 59 54 $3K
59514 12 12 $3K
90732 127 111 $3K
94660 277 271 $2K
92928 12 12 $2K
54150 28 28 $2K
95806 56 51 $2K
S9083 Global fee urgent care centers 408 391 $2K
95886 66 62 $2K
G0008 Administration of influenza virus vaccine 3,940 3,613 $2K
90715 55 55 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 266 209 $2K
99307 432 328 $2K
95923 42 40 $2K
72040 132 119 $2K
47379 18 12 $2K
99401 71 69 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 119 54 $1K
99490 Ccm add 20min 138 133 $1K
90674 72 72 $1K
3074F 235,481 215,152 $1K
90658 75 75 $1K
95921 44 41 $1K
99219 29 27 $1K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 26 25 $1K
99439 133 128 $1K
95910 14 12 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,431 1,274 $1K
99220 15 13 $1K
3078F 208,992 190,978 $1K
99318 133 120 $978.98
73080 68 57 $917.04
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 53 50 $867.48
52000 48 44 $856.52
J1010 Injection, methylprednisolone acetate, 1 mg 223 184 $823.64
90670 49 45 $821.21
94200 158 135 $793.34
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 50 44 $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 35 12 $760.81
96361 Intravenous infusion, hydration; each additional hour 69 42 $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 247 156 $736.61
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 88 72 $727.23
72020 77 77 $695.97
99497 31 30 $687.80
J1040 Injection, methylprednisolone acetate, 80 mg 166 132 $684.30
J7050 Infusion, normal saline solution, 250 cc 1,118 382 $645.22
3079F 106,386 98,496 $632.00
99344 13 12 $620.64
90656 41 40 $580.76
97535 Self-care/home management training, each 15 minutes 112 91 $572.07
99283 Emergency department visit for the evaluation and management, moderate severity 33 17 $537.65
90837 Psychotherapy, 53 minutes with patient 239 197 $531.05
93971 65 55 $517.67
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 18 16 $517.47
59025 Fetal non-stress test 26 12 $502.76
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 566 490 $499.15
90472 Immunization administration, each additional vaccine (list separately) 73 68 $495.09
99406 115 107 $494.99
96127 197 190 $465.39
99201 14 14 $450.78
93228 148 59 $413.76
36200 32 26 $409.75
93272 123 60 $394.86
G0444 Annual depression screening, 5 to 15 minutes 119 119 $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) 78 77 $379.31
81001 597 527 $341.04
81002 504 481 $320.18
93293 410 362 $319.92
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 802 596 $317.24
97161 18 14 $315.00
90687 61 51 $300.61
94664 49 46 $247.88
3075F 46,600 43,577 $218.00
81025 69 66 $214.10
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report 92 75 $204.72
97164 28 25 $183.54
3077F 38,588 35,350 $174.00
75625 16 13 $163.20
73502 13 12 $150.84
17000 13 12 $143.96
93244 116 35 $134.38
98960 29 26 $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 28 24 $127.73
93356 19 15 $125.37
36416 657 588 $117.82
93246 14 13 $116.39
J1200 Injection, diphenhydramine hcl, up to 50 mg 216 162 $113.49
75710 21 14 $108.85
1159F 130,556 116,564 $107.22
G0009 Administration of pneumococcal vaccine 225 201 $87.44
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 37 37 $86.79
3080F 9,730 9,092 $73.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 13 $69.43
94150 222 179 $47.71
99453 31 27 $45.17
83036 Hemoglobin; glycosylated (A1C) 13 12 $42.42
93926 140 115 $36.18
99024 6,222 4,487 $32.03
S9088 Services provided in an urgent care center (list in addition to code for service) 379 361 $25.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 16 12 $17.08
3044F 15,639 15,242 $15.00
J1815 Injection, insulin, per 5 units 24 12 $6.79
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 88 65 $2.00
1123F 2,139 1,876 $0.00
1170F 562 489 $0.00
3324F 518 491 $0.00
1111F 73 69 $0.00
3052F 43 39 $0.00
99000 79 79 $0.00
3008F 35 32 $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 14 14 $0.00
4004F 51,513 46,246 $0.00
1160F 75,660 67,404 $0.00
3006F 941 900 $0.00
3051F 280 273 $0.00
1124F 219 173 $0.00
3046F 25 24 $0.00
3023F 445 433 $0.00
0502F 376 290 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 88 81 $0.00
G8845 Positive airway pressure therapy prescribed 40 37 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 14 13 $0.00