Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Integral Healthcare LLC

Integral Healthcare LLC was paid $639K by Medicaid between Jan 2018 and Sep 2019, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoINTEGRAL HEALTHCARE LLC
NEWARK, NJ 07104
33aNPI1992185623assigned 06/08/2015
28Total paid$639K
24GClaims16,498
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#97 of 1,027
Median peer was paid$30K
This provider vs. median21×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201811,275$449K
20195,223$190K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 45% 4,565 3,770 $289K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 2,074 1,714 $96K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 9.5% 244 243 $60K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 4.8% 349 66 $31K
95911 4.1% 292 280 $26K
93923 3.9% 478 478 $25K
94060 3.7% 589 588 $24K
93000 3.0% 1,344 1,323 $19K
93224 2.1% 180 180 $14K
93922 2.0% 449 449 $12K
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 1.7% 121 121 $11K
93924 1.6% 178 177 $10K
5 more codes
95913 <1% 46 $6K
36415 Collection of venous blood by venipuncture <1% 2,474 $4K
95115 <1% 1,153 $4K
99203 Doctor's office visit, new patient (routine) <1% 52 $4K
81001 <1% 1,910 $4K

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 officialPICHARDO, NELSON (OWNER)
Same official

Other billing entities under PICHARDO, NELSON

Full network →
ProviderLocationPaid
Hakuna Matata Psychiatry Services PLLCInlet Beach, FL$23K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.