Physician
Excelcare Medical Associates, PA
Excelcare Medical Associates, PA was paid $9.97M by Medicaid between Jan 2018 and Dec 2024, across 175 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoEXCELCARE MEDICAL ASSOCIATES, PA
TEANECK, NJ 07666
TEANECK, NJ 07666
33aNPI1992736300assigned 07/05/2006
33bProvider typeAdult Medicine Physician
28Total paid$9.97M
24GClaims587,266
24DCodes billed175
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Adult Medicine Physician providers in New Jersey
Rank by total paid#1 of 11
Median peer was paid$16K
This provider vs. median624×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BENIQUEZ PACHECO, PATRICIA controls 11+ related entities in our dataset. Read more
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 | 53,120 | $1.29M | |
| 2019 | 57,222 | $1.23M | |
| 2020 | 54,600 | $1.25M | |
| 2021 | 68,810 | $1.32M | |
| 2022 | 110,447 | $1.58M | |
| 2023 | 140,958 | $1.90M | |
| 2024incomplete | 102,109 | $1.41M |
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 | 35% | 112,349 | 99,950 | $3.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 109,079 | 94,374 | $3.02M |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.4% | 6,767 | 6,352 | $335K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 5,388 | 4,859 | $248K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 23,704 | 7,864 | $248K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 3,858 | 3,276 | $178K |
| 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% | 3,963 | 3,739 | $174K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 8,881 | 7,670 | $169K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 5,941 | 5,337 | $152K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 1.2% | 7,017 | 6,128 | $123K |
| 90674 | <1% | 5,728 | 5,346 | $95K | |
| 76830 | Ultrasound, transvaginal | <1% | 1,279 | 1,220 | $89K |
163 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,613 | $87K |
| 93000 | <1% | 9,870 | $87K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 10,069 | $77K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 6,328 | $73K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 8,105 | $72K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,764 | $72K |
| 99349 | <1% | 3,820 | $68K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,336 | $61K |
| 59426 | <1% | 1,094 | $50K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 10,808 | $49K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 8,488 | $48K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,073 | $47K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,327 | $38K |
| 99442 | <1% | 2,947 | $36K | |
| 99460 | <1% | 462 | $36K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,581 | $36K |
| 99443 | <1% | 1,918 | $35K | |
| 59425 | <1% | 761 | $35K | |
| 93016 | <1% | 4,705 | $34K | |
| 90461 | <1% | 2,218 | $32K | |
| 99490 | Ccm add 20min | <1% | 3,888 | $31K |
| 99223 | Prolong inpt eval add15 m | <1% | 891 | $31K |
| 99350 | Prolong home eval add 15m | <1% | 1,871 | $29K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,877 | $28K |
| 36415 | Collection of venous blood by venipuncture | <1% | 15,974 | $27K |
| 90686 | <1% | 2,468 | $24K | |
| 99386 | <1% | 515 | $24K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 645 | $22K |
| 99385 | <1% | 566 | $22K | |
| 93970 | <1% | 1,731 | $20K | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 4,507 | $20K |
| 99348 | <1% | 956 | $17K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 150 | $16K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 646 | $14K |
| 47562 | <1% | 82 | $14K | |
| 81002 | <1% | 17,141 | $13K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 259 | $13K |
| 99439 | <1% | 1,601 | $13K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 669 | $12K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 720 | $10K |
| 99462 | <1% | 250 | $10K | |
| 99441 | <1% | 1,054 | $9K | |
| 90694 | <1% | 1,004 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 703 | $7K |
| 99497 | <1% | 1,529 | $6K | |
| 90671 | <1% | 593 | $6K | |
| 81025 | <1% | 2,035 | $6K | |
| 90670 | <1% | 199 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 165 | $5K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 3,150 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 88 | $5K |
| 96127 | <1% | 2,282 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 498 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,051 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 341 | $4K |
| 81001 | <1% | 1,864 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 54 | $3K |
| 99306 | Prolong nursin fac eval 15m | <1% | 149 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 151 | $3K |
| 93971 | <1% | 404 | $3K | |
| 99220 | <1% | 100 | $3K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 2,174 | $3K |
| 99243 | <1% | 31 | $3K | |
| 99242 | <1% | 40 | $2K | |
| 51702 | <1% | 76 | $2K | |
| 76825 | <1% | 62 | $2K | |
| 99401 | <1% | 118 | $2K | |
| G0008 | Administration of influenza virus vaccine | <1% | 2,590 | $2K |
| 99318 | <1% | 71 | $2K | |
| 90653 | <1% | 276 | $2K | |
| 90697 | <1% | 296 | $2K | |
| 90661 | <1% | 495 | $2K | |
| 99407 | <1% | 137 | $2K | |
| 76827 | <1% | 60 | $1K | |
| 90688 | <1% | 195 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 616 | $1K |
| 99495 | <1% | 43 | $1K | |
| 76821 | <1% | 62 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 362 | $1K |
| 99000 | <1% | 12,605 | $1K | |
| 90756 | <1% | 108 | $1K | |
| 99221 | <1% | 95 | $1K | |
| 76820 | <1% | 62 | $1K | |
| 93325 | <1% | 137 | $1K | |
| 51701 | <1% | 40 | $962.22 | |
| 99253 | <1% | 14 | $956.97 | |
| 93922 | <1% | 38 | $938.12 | |
| 99201 | <1% | 37 | $755.00 | |
| 82962 | <1% | 1,667 | $694.66 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 49 | $677.48 |
| 99225 | <1% | 122 | $668.16 | |
| 90680 | <1% | 286 | $666.52 | |
| 99217 | <1% | 75 | $613.76 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 57 | $537.32 |
| 99347 | <1% | 13 | $520.23 | |
| 94010 | <1% | 43 | $507.25 | |
| 93040 | <1% | 173 | $501.50 | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 56 | $400.39 |
| 99305 | <1% | 49 | $357.43 | |
| 93018 | <1% | 13 | $352.59 | |
| 94664 | <1% | 81 | $338.68 | |
| 90662 | <1% | 21 | $288.83 | |
| 90723 | <1% | 117 | $279.31 | |
| 95250 | <1% | 13 | $271.23 | |
| 99491 | Ccm add 20min | <1% | 66 | $267.27 |
| 99345 | Prolong home eval add 15m | <1% | 13 | $262.66 |
| 51798 | <1% | 57 | $204.24 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 24 | $200.02 |
| 99218 | <1% | 16 | $190.90 | |
| 90648 | <1% | 249 | $186.51 | |
| 99152 | <1% | 14 | $178.20 | |
| 98967 | <1% | 29 | $162.67 | |
| 90700 | <1% | 99 | $151.82 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 73 | $144.85 |
| 99304 | <1% | 14 | $143.50 | |
| 99342 | <1% | 18 | $120.74 | |
| 36416 | <1% | 23 | $111.80 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 15 | $94.45 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $93.91 |
| 3008F | <1% | 6,835 | $79.00 | |
| 95251 | <1% | 13 | $69.28 | |
| 99334 | <1% | 36 | $52.57 | |
| 1111F | <1% | 3,234 | $46.00 | |
| 1159F | <1% | 4,231 | $41.00 | |
| 87210 | <1% | 12 | $28.80 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 34,164 | $23.10 |
| 81003 | <1% | 99 | $15.37 | |
| 1160F | <1% | 6,203 | $12.00 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 30 | $11.50 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 102 | $2.00 |
| 1170F | <1% | 1,935 | $2.00 | |
| 1125F | <1% | 244 | $2.00 | |
| 3078F | <1% | 2,640 | $1.01 | |
| 3074F | <1% | 2,856 | $1.01 | |
| 3288F | 0% | 4,900 | $0.00 | |
| 1033F | 0% | 4,264 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 2,188 | $0.00 |
| 3725F | 0% | 90 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 233 | $0.00 |
| 1100F | 0% | 66 | $0.00 | |
| 3077F | 0% | 29 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 121 | $0.00 |
| 3028F | 0% | 56 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 39 | $0.00 |
| G9510 | Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5 | 0% | 39 | $0.00 |
| 3015F | 0% | 12 | $0.00 | |
| 97803 | 0% | 19 | $0.00 | |
| 99051 | 0% | 12 | $0.00 | |
| 1101F | 0% | 2,007 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 8,450 | $0.00 |
| 1036F | 0% | 5,948 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 7,947 | $0.00 |
| 0509F | 0% | 1,436 | $0.00 | |
| 1126F | 0% | 1,155 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 2,860 | $0.00 |
| 3079F | 0% | 915 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 454 | $0.00 |
| 3075F | 0% | 396 | $0.00 | |
| 3017F | 0% | 198 | $0.00 | |
| 3044F | 0% | 264 | $0.00 | |
| 3014F | 0% | 16 | $0.00 | |
| 1123F | 0% | 28 | $0.00 | |
| 3048F | 0% | 31 | $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 officialBENIQUEZ PACHECO, PATRICIA (CREDENTIALING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Peace Health Partners, PC | Teaneck, NJ | $1.24M |
| Breast Imaging Partners, PC | Teaneck, NJ | $661K |
| Holy Name Primary Care and Specialty Associates, PC | Teaneck, NJ | $512K |
| Holy Name Pulmonary Associates, PC | Teaneck, NJ | $389K |
| House Physician Partners, PC | Teaneck, NJ | $274K |
| MS Comprehensive Care Center | Teaneck, NJ | $190K |
| Holy Name Cardiology Associates, PC | Teaneck, NJ | $120K |
| Holy Name Health Physicians | Teaneck, NJ | $112K |
| Radiation Oncology Partners PC | Teaneck, NJ | $35K |
| Holy Name Hospital Ekg Interpretation Group | Teaneck, NJ | $26K |
| Holy Name Anesthesia Partners | Teaneck, NJ | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.