Physician
Spotswood Medical Associates PA
Spotswood Medical Associates PA was paid $459K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoSPOTSWOOD MEDICAL ASSOCIATES PA
SPOTSWOOD, NJ 08884
SPOTSWOOD, NJ 08884
33aNPI1982905022assigned 11/05/2010
33bProvider typeInternal Medicine Physician
28Total paid$459K
24GClaims18,217
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#132 of 1,027
Median peer was paid$30K
This provider vs. median15×
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 | 2,173 | $78K | |
| 2019 | 2,226 | $70K | |
| 2020 | 3,302 | $71K | |
| 2021 | 3,304 | $76K | |
| 2022 | 3,519 | $69K | |
| 2023 | 2,212 | $54K | |
| 2024incomplete | 1,481 | $41K |
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 | 64% | 9,371 | 6,895 | $296K |
| 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 | 21% | 2,771 | 2,508 | $98K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.4% | 3,440 | 3,106 | $34K |
| 99334 | 3.5% | 764 | 736 | $16K | |
| 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 | <1% | 55 | 55 | $4K |
| 99401 | <1% | 174 | 163 | $3K | |
| 93000 | <1% | 224 | 220 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 46 | 45 | $2K |
| 99350 | Prolong home eval add 15m | <1% | 95 | 94 | $2K |
| 99490 | Ccm add 20min | <1% | 831 | 807 | $756.29 |
| 99305 | <1% | 14 | 13 | $325.87 | |
| 90756 | <1% | 18 | 17 | $274.46 |
8 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | $247.86 |
| 90674 | <1% | 13 | $241.13 | |
| 86580 | <1% | 23 | $69.35 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 33 | $33.66 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 29 | $0.00 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 119 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 104 | $0.00 |
| 99439 | 0% | 62 | $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 officialSAHNI, SUSHMA (OWNER/CEO)