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 1639189236)

Field	Value
Entity Type	Organization
Organization	University Physician Associates Of New Jersey Inc
Address	90 Bergen St
City	Newark
State	NJ
ZIP	07103
Taxonomy	Surgery Physician
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$41.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

58 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.	77,340	$200	$15.5M
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.	39,720	$160	$6.4M
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…	39,600	$100	$4.1M
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	7,670	$350	$2.7M
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	14,090	$150	$2.1M
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…	12,360	$170	$2.1M
99203	The 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…	10,740	$160	$1.7M
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.	12,440	$100	$1.2M
99204	The 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…	3,630	$240	$867.6K
31579	The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…	3,470	$210	$735.6K

Showing 1–10 of 58

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 — 12 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

58 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.	98	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.	42	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.	9	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.	113	140	1,410	$180	$1.3M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	260	280	360	$560	$567.5K
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	1	10	80	$350	$403.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	23	30	290	$590	$379.3K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	12	30	150	$1,170	$313.7K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	1	50	460	$150	$285.7K
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…	104	4,450	740	$40	$229.8K

Showing 1–10 of 58

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	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	Diagnostic Radiology Physician	$0	$14.3M
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
University Hospital	NJ	General Acute Care Hospital	$0	$363.2M
Rutgers-university Behavioral Health Care	NJ	Community/Behavioral Health Agency	$0	$20.7M
Eli Eliav	NJ	Dentist	$0	$19.5M
All Health Services PC	NJ	Internal Medicine Physician	$0	$18.5M
Rutgers-university Behavioral Health Care	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$9.7M
Unique Home Care & Companionship Services	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.5M
Bio-medical Applications Of New Jersey, Inc.	NJ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.8M
Nandini Ignatius	NJ	Hematology & Oncology Physician	$599.5K	$0
Richard Snellings	NJ	Diagnostic Radiology Physician	$397.5K	$0
Warren Chiodo	NJ	Foot & Ankle Surgery Podiatrist	$292.1K	$0

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