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.

Meridian Medical Group - Specialty Care, PC (NPI 1942362587)

Field	Value
Entity Type	Organization
Organization	Meridian Medical Group - Specialty Care, PC
Address	331 Newman Springs Rd Ste 220
City	Red Bank
State	NJ
ZIP	07701
Taxonomy	Specialist
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

117 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…	32,890	$80	$2.7M
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…	38,400	$60	$2.3M
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	3,520	$220	$777.5K
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…	2,890	$110	$323.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	3,510	$90	$322.8K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	1,640	$180	$294.3K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	1,550	$100	$159.3K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,520	$100	$152.3K
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…	1,100	$100	$108.8K
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…	3,520	$30	$91.4K

Showing 1–10 of 117

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

Meridian Medical Group - Specialty Care, PC — 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

117 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	201	320	580	$230	$4M
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.	147	280	360	$560	$567.5K
93306	The 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…	141	330	650	$200	$465.1K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	50	100	320	$190	$394K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	129	170	200	$470	$313.6K
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…	24	40	210	$760	$307.1K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	111	180	1,610	$70	$284.3K
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.	90	100	1,110	$80	$274.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	114	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…	112	4,450	740	$40	$229.8K

Showing 1–10 of 117

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hackensack Meridian Health Medical Group - Specialty Care PC	NJ	Surgical Critical Care Physician	$0	$50.1M
Hackensack Meridian Health Medical Group - Primary Care PC	NJ	Family Medicine Physician	$0	$21.9M
Hackensack Meridian Health Medical Group - Complex Care PC	NJ	Internal Medicine Physician	$0	$11.6M
Aristotelis Vlahos	NJ	Cardiovascular Disease Physician	$856.9K	$0
Matthew Samra	NJ	Vascular Surgery Physician	$598.5K	$0
Jorge Corzo	NJ	Physical Medicine & Rehabilitation Physician	$401.2K	$0
Chirag Patel	NJ	Allergy & Immunology Physician	$354.4K	$0
Arthur Demarsico	NJ	Vascular Surgery Physician	$310.2K	$0
Anthony Yudd	NJ	Nuclear Radiology Physician	$265.5K	$0
Ellen Conner	NJ	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$248.2K	$0

Nearby Providers

Other providers in the same ZIP code as Meridian Medical Group - Specialty Care, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cpc Integrated Health, Inc.	NJ	Community/Behavioral Health Agency	$0	$80.7M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$26.4M
Caring With Compassion	NJ	Developmentally Disabled Services Day Training Agency	$0	$23.7M
Cpc Integrated Health, Inc.	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16M
Cpc Integrated Health, Inc.	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Middletown Medical, LLC	NJ	Methadone Clinic	$454.8K	$7.8M
Richard Haddad	NJ	Specialist	$4.3M	$0
Edward Allegra	NJ	Specialist	$3.6M	$0
Mark Friedberg	NJ	Ophthalmology Physician	$1.6M	$0
Endoscopy Center Of Red Bank PA	NJ	Endoscopy Clinic/Center	$1.1M	$0

Meridian Medical Group - Specialty Care, PC — Billing Profile & Reimbursement Data

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Meridian Medical Group - Specialty Care, PC — 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