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.

Emergency Physician Associates Of North Jersey P C (NPI 1497783419)

Field	Value
Entity Type	Organization
Organization	Emergency Physician Associates Of North Jersey P C
Address	99 Beauvoir Ave
City	Summit
State	NJ
ZIP	07901
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 29, 2006

Payer Source	Total Paid
Medicaid	$16.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	131,310	$60	$8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	121,270	$50	$6.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	73,100	$30	$2.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	820	$80	$63.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	27,920	$1	$55.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	860	$20	$14.6K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	80	$30	$2.4K
99220	N/A	50	$40	$1.6K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	30	$40	$1.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$30	$530

Showing 1–10 of 13

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

Emergency Physician Associates Of North Jersey P C — 2 of 12 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	17	260	4,240	$220	$4.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	11	320	580	$230	$4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	4	280	920	$200	$2.6M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	83	140	1,410	$180	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	60	230	210	$160	$189K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	23	30	120	$210	$168.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	519	630	100	$70	$47.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	28	280	880	$1	$42.6K
99220	N/A	25	50	40	$60	$24.8K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	36	40	220	$50	$19K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Physician Associates Of North Jersey P C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Middletown Medical PC	NY	Emergency Medicine Physician	$0	$49.3M
Andre Bonnet	NJ	Emergency Medicine Physician	$448.2K	$9.9K
Joseph Deluca	NJ	Specialist	$454.6K	$0
Sekuleo Gathers	NY	Family Medicine Physician	$221.2K	$181.5K
Colleen Maturana	NY	Ophthalmology Physician	$241.4K	$32.6K
Sanjai Jalaj	NJ	Ophthalmology Physician	$238.2K	$0
Michael Kaufer	NJ	Emergency Medicine Physician	$188.2K	$0
Richard Barnett	NJ	Emergency Medicine Physician	$185.1K	$0
Luis Varela	NJ	Emergency Medicine Physician	$151.7K	$0
Jamey Hourigan	NC	Emergency Medicine Physician	$106K	$1.4K

Nearby Providers

Other providers in the same ZIP code as Emergency Physician Associates Of North Jersey P C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahs Hospital Corp.	NJ	General Acute Care Hospital	$0	$125.2M
Mark Krell	NJ	Cardiovascular Disease Physician	$448.6K	$0
John Williams	NJ	Dermatology Physician	$315K	$0
John Werring	NJ	Diagnostic Radiology Physician	$209.8K	$0
Miles Levin	NJ	Anatomic Pathology & Clinical Pathology Physician	$207.8K	$0
Prabha Pai	NJ	Anatomic Pathology & Clinical Pathology Physician	$199.5K	$0
Christine Stahl	NJ	Neurology Physician	$190.4K	$0
Hamid Bagce	NJ	Diagnostic Radiology Physician	$164.2K	$730
Edward Dimitry	NJ	Pulmonary Disease Physician	$160.5K	$0
Lisa Toffey	NJ	Internal Medicine Physician	$149K	$0

Emergency Physician Associates Of North Jersey P C — Billing Profile & Reimbursement Data

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Emergency Physician Associates Of North Jersey P C — 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