Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

University Physician Associates Of New Jersey Inc (NPI 1316957913)

Field	Value
Entity Type	Organization
Organization	University Physician Associates Of New Jersey Inc
Address	30 Bergen St
City	Newark
State	NJ
ZIP	07107
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$14.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

111 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	39,800	$70	$2.6M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	21,710	$90	$2M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	138,460	$10	$969.2K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	10,540	$80	$885.7K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	2,810	$220	$609.6K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	330	$1,650	$547.1K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	13,330	$30	$440K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	3,210	$120	$398.3K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	10,970	$30	$361.9K
70486	The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.	3,650	$90	$310.3K

Showing 1–10 of 111

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

University Physician Associates Of New Jersey Inc — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

111 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7	170	2,330	$110	$578.8K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	6	90	190	$430	$429.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4	180	3,560	$50	$371.9K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	19	40	190	$710	$324K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	12	180	1,610	$70	$284.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,544	4,450	740	$40	$229.8K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	43	130	360	$220	$226.3K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	91	140	1,740	$90	$212.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,647	3,790	580	$60	$204K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	9	120	240	$210	$198.1K

Showing 1–10 of 111

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Physician Associates Of New Jersey Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Physician Associates Of New Jersey Inc	NJ	Surgery Physician	$0	$41.8M
University Physician Associates Of New Jersey Inc	NJ	Internal Medicine Physician	$0	$36.6M
University Physician Associates Of New Jersey Inc	NJ	Pediatrics Physician	$0	$34.1M
University Physician Associates Of New Jersey Inc	NJ	Obstetrics & Gynecology Physician	$0	$10.2M
Joel Wolf	PA	Vascular & Interventional Radiology Physician	$1.3M	$4.7K
Boqing Chen	NJ	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$600K	$0
Avtar Parhar	NJ	Pulmonary Disease Physician	$505.7K	$0
Faisal Shah	NY	Diagnostic Radiology Physician	$245.2K	$259.8K
Atul Prakash	NJ	Clinical Cardiac Electrophysiology Physician	$340.6K	$0
David Chu	NJ	Ophthalmology Physician	$315.5K	$10.8K

Nearby Providers

Other providers in the same ZIP code as University Physician Associates Of New Jersey Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orange St Dental Associates LLC	NJ	General Practice Dentistry	$0	$12.8M
Meera Inc	NJ	Community/Retail Pharmacy	$0	$9.4M
The Center For Autism A Nj Nonprofit Corp	NJ	Developmentally Disabled Services Day Training Agency	$0	$8.7M
Pnp Group LLC	NJ	Land Ambulance	$936.9K	$195.5K
Ramez Samuel	NJ	Internal Medicine Physician	$734.5K	$16.5K
Sankalp Pathak	NJ	Interventional Cardiology Physician	$639.9K	$0
Inderpal Chadha	NJ	Nephrology Physician	$414.7K	$0
Lifeline Medical Services Inc	NJ	Land Ambulance	$114.3K	$75.4K
Diane Mackenzie	NJ	Emergency Medicine Physician	$124.6K	$0
Michael Schulder	NJ	Neurological Surgery Physician	$43.3K	$0

University Physician Associates Of New Jersey Inc — Billing Profile & Reimbursement Data

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University Physician Associates Of New Jersey Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References