Grapefruit Medical, PA

Grapefruit Medical, PA was paid $54K by Medicaid between Jun 2021 and Mar 2022, across 6 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 27% of everything it billed.

33Billing provider infoGRAPEFRUIT MEDICAL, PA
PARSIPPANY, NJ 07054

33aNPI1962095158assigned 02/18/2021

33bProvider typeEmergency Medicine Physician

28Total paid$54K

24GClaims4,956

24DCodes billed6

24AFirst – last monthJun 2021 – Mar 2022

Compared with peers

Next to other Emergency Medicine Physician providers in New Jersey

Rank by total paid#76 of 235

Median peer was paid$10K

This provider vs. median5.3×

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
2021	1,484	$24K
2022	3,472	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	27%	1,062	761	$15K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	25%	430	420	$13K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	24%	867	851	$13K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	20%	2,532	1,705	$11K
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	2.1%	17	17	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	48	47	$740.58

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 officialPESCATORE, RICHARD (OWNER)