Physician
Physician Specialists of Northern Jersey LLC
Physician Specialists of Northern Jersey LLC was paid $348K by Medicaid between Jul 2019 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.
33Billing provider infoPHYSICIAN SPECIALISTS OF NORTHERN JERSEY LLC
PARAMUS, NJ 07652
PARAMUS, NJ 07652
33aNPI1952842460assigned 03/16/2017
33bProvider typePulmonary Disease Physician
28Total paid$348K
24GClaims5,963
24DCodes billed6
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New Jersey
Rank by total paid#15 of 112
Median peer was paid$24K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2019 | 278 | $17K | |
| 2020 | 1,255 | $58K | |
| 2021 | 1,354 | $94K | |
| 2022 | 1,477 | $78K | |
| 2023 | 1,003 | $61K | |
| 2024incomplete | 596 | $40K |
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 | 95% | 4,467 | 4,007 | $331K |
| 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 | 3.0% | 86 | 86 | $10K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.7% | 1,141 | 317 | $6K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 15 | 14 | $352.47 |
| 99310 | Prolong nursin fac eval 15m | <1% | 240 | 65 | $216.12 |
| 99305 | 0% | 14 | 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 officialGROSS, MICHAEL (OWNER/PARTNER)