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 1922018514)

Field	Value
Entity Type	Organization
Organization	University Physician Associates Of New Jersey Inc
Address	140 Bergen St
City	Newark
State	NJ
ZIP	07103
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$10.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	25,160	$110	$2.9M
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…	7,930	$160	$1.3M
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	10,170	$80	$813.7K
76811	The 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…	2,670	$230	$625.7K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	6,260	$90	$557.5K
99212	The 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,…	9,050	$60	$552.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	8,010	$70	$544.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	11,830	$40	$461.4K
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…	600	$680	$406.9K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	4,160	$100	$403.1K

Showing 1–10 of 42

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 — 3 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	17	100	320	$190	$394K
76811	The 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…	17	90	980	$230	$347.2K
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…	10	40	210	$760	$307.1K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	9	100	1,110	$80	$274.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	13	140	1,230	$70	$260.9K
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…	184	4,450	740	$40	$229.8K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	6	50	290	$120	$205.7K
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…	314	3,790	580	$60	$204K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	23	180	510	$80	$162.3K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	5	90	490	$110	$131.9K

Showing 1–10 of 42

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	Surgery Physician	$0	$41.8M
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
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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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