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.

Reliance Medical Group LLC (NPI 1861555294)

Reliance Medical Group LLC is a specialist provider located in Northfield, New Jersey. This profile covers 0 Medicare and 169 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Reliance Medical Group LLC
Address	523 Tilton Rd
City	Northfield
State	NJ
ZIP	08225
Taxonomy	Specialist
NPI Enumerated	December 18, 2006

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

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

169 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	58,450	$60	$3.4M
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…	66,060	$50	$3.2M
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	17,600	$20	$352K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	2,940	$60	$176.2K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,910	$60	$168.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	8,520	$20	$161.8K
59409	In 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…	180	$830	$152.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,330	$40	$126.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,140	$40	$122.4K
99215	The 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…	1,210	$100	$117.3K

Showing 1–10 of 169

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

Reliance Medical Group LLC — 6 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

169 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	3	10	370	$50	$554.3K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	75	100	320	$190	$394K
59409	In 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…	21	40	210	$760	$307.1K
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…	53	4,450	740	$40	$229.8K
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…	28	3,790	580	$60	$204K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	156	220	900	$1	$180.8K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	12	20	150	$120	$124.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	101	550	500	$60	$105.5K
99232	The 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…	505	1,020	550	$30	$105.3K
99215	The 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…	113	740	150	$100	$100.3K

Showing 1–10 of 169

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Naim Nazha	NJ	Medical Oncology Physician	$2.8M	$0
Thomas Margolis	NJ	Ophthalmology Physician	$2.5M	$0
Scott Foxman	NJ	Ophthalmology Physician	$2M	$0
Brett Foxman	NJ	Ophthalmology Physician	$1.6M	$0
Jaime Epstein	NJ	Mental Health Counselor	$140.9K	$1.4M
Daniel Connors	NJ	Ophthalmology Physician	$1.5M	$0
James Dalzell	NJ	Radiation Oncology Physician	$1.1M	$0
David Feng	NJ	Specialist	$798.8K	$0
Francis Previti	NJ	Surgery Physician	$434.6K	$0
M Seplow	NJ	Psychiatry Physician	$383.5K	$0

Reliance Medical Group LLC — Billing Profile & Reimbursement Data

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Reliance Medical Group LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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