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    OpenPayerNPI Medicare & MedicaidBarnabas Health Medical Group PC
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    Barnabas Health Medical Group PC — Billing Profile & Reimbursement Data

    NPI 1841557246 · Elizabeth, NJ · Specialist

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    Barnabas Health Medical Group PC is a specialist provider located in Elizabeth, New Jersey. This profile covers 0 Medicare and 265 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
    OrganizationBarnabas Health Medical Group PC
    Address225 Williamson St
    CityElizabeth
    StateNJ
    ZIP07202
    TaxonomySpecialist
    NPI EnumeratedApril 23, 2012

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

    Payer SourceTotal Paid
    Medicaid$40M
    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.

    265 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…170,260$60$10.9M
    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…128,270$60$7.1M
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…27,800$100$2.8M
    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…23,430$110$2.6M
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…28,680$50$1.5M
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…6,990$150$1M
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…43,540$20$1M
    99291Critical 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…8,130$100$845.4K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.12,560$60$728.4K
    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…10,240$70$675.6K

    Showing 1–10 of 265

    • More pages

    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

    265 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93303The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…1030160$330$634.2K
    43239The 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.147280360$560$567.5K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…2370210$1,050$539.3K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…4330650$200$465.1K
    99469The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.1920580$300$429.5K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…2850120$1,290$423.6K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.45100320$190$394K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…290980$230$347.2K
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…1440210$760$307.1K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…79110250$540$292.2K

    Showing 1–10 of 265

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Barnabas Health Medical Group PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Azz Medical Associates PCNJInternal Medicine Physician$0$12.1M
    Anjum TanwirNJCardiovascular Disease Physician$2.5M$1.3K
    David DickersonNJOrthopaedic Surgery Physician$171.5K$1.7M
    Ramzan ZakirNJInterventional Cardiology Physician$1.7M$1.2K
    Jehad SalibaNJPulmonary Disease Physician$1.3M$8.6K
    Isaac EzonNJRetina Specialist (Ophthalmology) Physician$966.8K$0
    Bruce SchainkerNJCytopathology Physician$898.7K$910

    Nearby Providers

    Other providers in the same ZIP code as Barnabas Health Medical Group PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Access UnlimitedNJSupports Brokerage Agency$0$355.6M
    Trinitas Regional Medical CenterNJGeneral Acute Care Hospital$0$142.3M
    Confident Care CorpNJHome Health Agency$0$46.3M
    Bridgeway Rehabilitation ServicesNJCase Management Agency$0$22.6M
    Trinitas Regional Medical CenterNJGeneral Acute Care Hospital$0$14.3M
    Vipin GargNJPulmonary Disease Physician$1M$0
    Anshu GargNJCardiovascular Disease Physician$759.9K$0
    Matthew CholankerilNJCardiovascular Disease Physician$525.3K$0
    Atlas Diagnostics IncNJClinical Medical Laboratory$420K$11.3K
    Mathew CholankerilNJCardiovascular Disease Physician$329.8K$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
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Barnabas Health Medical Group PC — 20 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey