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    OpenPayerNPI Medicare & MedicaidNew Jersey Podiatric Physicians & Surgeons Group, …
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    New Jersey Podiatric Physicians & Surgeons Group, LLC — Billing Profile & Reimbursement Data

    NPI 1518230663 · Howell, NJ · Podiatrist

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    New Jersey Podiatric Physicians & Surgeons Group, LLC is a podiatrist provider located in Howell, New Jersey. This profile covers 0 Medicare and 28 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNew Jersey Podiatric Physicians & Surgeons Group, LLC
    Address4645 Hwy 9
    CityHowell
    StateNJ
    ZIP07731
    TaxonomyPodiatrist
    NPI EnumeratedFebruary 21, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$7.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each16,980$180$3.1M
    99213The 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…37,420$50$1.7M
    S0395Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic10,100$70$706.6K
    99203The provider sees a new 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 provider…10,670$60$682.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…21,130$30$591.8K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.15,600$10$140.4K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.7,500$20$112.5K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.3,450$20$65.5K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.7,440$10$44.6K
    29540The provider applies elastic adhesive tape to the ankle or foot to hold the joint or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains,…1,540$20$32.2K

    Showing 1–10 of 28

    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.

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

    28 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each3110340$200$461.3K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1572101,660$60$347.9K
    99213The 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…1184,450740$40$229.8K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.81100220$170$218.5K
    L3216Orthopedic footwear, ladies shoe, depth inlay, each33501,230$60$208K
    99214The 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…2,8003,790580$60$204K
    99203The provider sees a new 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 provider…331,460150$80$97.8K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…5260150$60$89.1K
    99204The provider sees a new 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 provider…6791,160110$110$79.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…211,520260$40$71.9K

    Showing 1–10 of 28

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with New Jersey Podiatric Physicians & Surgeons Group, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph WendolowskiDEPodiatrist$222.7K$0
    Stuart JacobNJFoot & Ankle Surgery Podiatrist$216.2K$0
    Michael VerdiNJPodiatrist$164.7K$0
    Douglas DelorenzoNJFoot & Ankle Surgery Podiatrist$147.1K$0
    Helene NguyenNJFoot Surgery Podiatrist$143.3K$0
    Steven LembergerNJFoot & Ankle Surgery Podiatrist$142K$0
    Jason GrossmanNJPodiatrist$135.1K$0
    Christopher MullinNJFoot Surgery Podiatrist$118.4K$0
    Jessica AddeoNJPrimary Podiatric Medicine Podiatrist$74.7K$0

    Nearby Providers

    Other providers in the same ZIP code as New Jersey Podiatric Physicians & Surgeons Group, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eihab Human Services New Jersey, Inc.NJIn Home Supportive Care Agency$0$171.1M
    Towne Pediatric Homecare LLCNJHome Health Agency$0$16M
    Kenneth NahumNJHematology & Oncology Physician$3.2M$0
    Jeffrey KoretzkyNJInternal Medicine Physician$256.7K$0
    Mohit KapoorNJOptometrist$21.6K$228.7K
    David LombardiNJInternal Medicine Physician$205.3K$0
    Jennifer BannonNJFamily Nurse Practitioner$166.7K$0
    Xiaoming LiuNJInternal Medicine Physician$138.5K$0
    Mark CattellNJPhysician Assistant$109.6K$0
    Manmeet AhluwaliaNJHematology & Oncology Physician$67.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    New Jersey Podiatric Physicians & Surgeons Group, LLC — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey