Physician
Shore Medical Associates PA
Shore Medical Associates PA was paid $221K by Medicaid between Jan 2018 and Mar 2023, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSHORE MEDICAL ASSOCIATES PA
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
33aNPI1962464404assigned 04/03/2006
33bProvider typeInternal Medicine Physician
28Total paid$221K
24GClaims6,963
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#218 of 1,027
Median peer was paid$30K
This provider vs. median7.4×
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 | 1,697 | $65K | |
| 2019 | 2,495 | $72K | |
| 2020 | 1,407 | $50K | |
| 2021 | 777 | $20K | |
| 2022 | 549 | $14K | |
| 2023 | 38 | $624.24 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 2,119 | 1,807 | $88K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 20% | 1,581 | 1,531 | $43K |
| 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 | 17% | 900 | 818 | $37K |
| 99354 | 17% | 625 | 584 | $37K | |
| 96116 | 1.3% | 118 | 117 | $3K | |
| 93000 | 1.3% | 181 | 180 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 400 | 381 | $2K |
| 94060 | 1.0% | 170 | 170 | $2K | |
| 99406 | <1% | 178 | 168 | $902.70 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $599.23 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 345 | 333 | $599.06 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | 48 | $557.50 |
6 more codes
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 officialCONDIT, LLOYD (BUSINESS MANAGER)