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Medicare New Jersey · CY2024

Who bills the most Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213) to Medicare in New Jersey?

Medicare Part B FFS · CY2024 · as published by CMS
1,534
Billing groups
1,874,200
Named-group FFS services
$421,765,523
Named-group submitted charges
$225
Avg charge / service
$93
Avg allowed / service
19%
Top-5 concentration
6%
Independent share

1,534 physician groups billed Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213) to Medicare fee-for-service in New Jersey in 2024; the top five named groups hold 19% of that volume, and independent (non-hospital-affiliated) groups deliver 6%.

99213 — Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole New Jersey market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 59% of Medicare in New Jersey; Medicare Advantage penetration 32% → 41% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 99213 svcs Share*Phone
1 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTSNJPHYSICIAN ASSISTANT 1183 149,857 5.5% (908) 273-4300
2 VIRTUA MEDICAL GROUP, PA VOORHEESNJPHYSICIAN ASSISTANT 1662 62,664 2.3% (856) 247-7260
3 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWNNJNURSE PRACTITIONER 1404 58,076 2.1% (973) 971-5596
4 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNENJNURSE PRACTITIONER 1878 48,406 1.8% (732) 362-3663
5 SCHWEIGER DERMATOLOGY PC HOBOKENNJPHYSICIAN ASSISTANT 181 45,094 1.7% (212) 283-3000
6 ORTHONJ LLC MANASQUANNJPHYSICIAN ASSISTANT 300 40,544 1.5% (732) 974-0404
7 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOODNJINTERNAL MEDICINE 550 33,154 1.2% (201) 894-3158
8 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICKNJINTERNAL MEDICINE 366 31,070 1.1% (732) 477-5600
9 ENT AND ALLERGY ASSOCIATES LLP YONKERSNJOTOLARYNGOLOGY 429 29,598 1.1% (914) 963-8588
10 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTONNJNURSE PRACTITIONER 990 28,012 1.0%
11 ATLANTICARE PHYSICIAN GROUP PA EGG HARBOR TOWNSHIPNJNURSE PRACTITIONER 507 25,612 0.9%
12 ADVOCARE, LLC HADDONFIELDNJNURSE PRACTITIONER 384 23,936 0.9% (856) 354-2211
13 RWJBH PRIMARY CARE SERVICES WARRENNJINTERNAL MEDICINE 264 20,171 0.7%
14 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILLNJDIAGNOSTIC RADIOLOGY 825 19,613 0.7% (856) 433-2535
15 VALLEY PHYSICIAN SERVICES PC HOBOKENNJNURSE PRACTITIONER 606 18,645 0.7% (800) 825-5391
16 THE MEDICAL GROUP OF NEW JERSEY HACKETTSTOWNNJPHYSICIAN ASSISTANT 274 18,277 0.7% (908) 979-1621
17 CURALTA MEDICAL LLC WAYNENJPODIATRY 69 17,698 0.7% (973) 956-8600
18 PREMIER BRAIN AND SPINE LLC UNIONNJPHYSICIAN ASSISTANT 127 16,424 0.6% (732) 906-9600
19 CONSENSUS MEDICAL GROUP LLC JERSEY CITYNJPHYSICIAN ASSISTANT 144 16,060 0.6% (201) 464-8888
20 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACKNJHEMATOLOGY/ONCOLOGY 153 13,637 0.5% (201) 996-2210
21 HUDSON MD GROUP FORT LEENJINTERNAL MEDICINE 107 13,037 0.5% (201) 224-0011
22 COOPER SURGICAL ASSOCIATES, PA CAMDENNJPHYSICIAN ASSISTANT 303 12,807 0.5% (856) 270-4100
23 COYLE S CONNOLLY DO PA LINWOODNJPHYSICIAN ASSISTANT 34 11,838 0.4% (609) 926-8899
24 MPV NEW JERSEY MD SERVICES PC NUTLEYNJINTERNAL MEDICINE 142 11,608 0.4% (973) 661-1900
25 GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC TOMS RIVERNJGASTROENTEROLOGY 82 11,584 0.4% (732) 281-1590
26 CLARK DERMATOLOGY LLC CLARKNJPHYSICIAN ASSISTANT 45 11,516 0.4% (732) 574-1399
27 INSPIRA HEALTH NETWORK MEDICAL GROUP PC PITTSGROVENJDIAGNOSTIC RADIOLOGY 238 11,199 0.4% (856) 358-6161
28 NJ CERTIFIED DERMATOLOGY PC HAMILTONNJNURSE PRACTITIONER 37 10,324 0.4% (732) 456-7777
29 EXCELCARE MEDICAL ASSOCIATES PA TEANECKNJNURSE PRACTITIONER 199 9,968 0.4% (201) 836-7970
30 INTEGRATED MEDICINE ALLIANCE PA SHREWSBURYNJFAMILY PRACTICE 41 9,592 0.4% (732) 460-9840
31 CAPITAL HEALTH MEDICAL GROUP PENNINGTONNJNURSE PRACTITIONER 439 9,473 0.3% (609) 537-6000
32 COOPER CARE ALLIANCE, PC TURNERSVILLENJFAMILY PRACTICE 117 9,443 0.3% (856) 536-1515
33 BARNABAS HEALTH MEDICAL GROUP, PC NEWARKNJPSYCHIATRY 254 8,994 0.3% (973) 926-7814
34 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC VINELANDNJORTHOPEDIC SURGERY 38 8,931 0.3% (856) 690-1616
35 PRINCETON MEDICAL GROUP,P.A. PRINCETONNJINTERNAL MEDICINE 36 8,922 0.3% (609) 924-9300
36 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDENNJNURSE PRACTITIONER 474 8,855 0.3%
37 TRI-COUNTY ORTHOPAEDIC AND SPORTS MEDICINE PA CEDAR KNOLLSNJORTHOPEDIC SURGERY 42 8,826 0.3% (973) 538-2334
38 NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC HOWELLNJPODIATRY 37 8,615 0.3% (732) 905-1110
39 SEAVIEW ORTHOPAEDICS AND MEDICAL ASSOCIATES LLP OCEANNJPHYSICAL THERAPIST IN PRIVATE PRACTICE 96 8,507 0.3% 732660620011702
40 KAYAL MEDICAL GROUP, LLC UNION CITYNJPHYSICIAN ASSISTANT 77 8,226 0.3% (844) 777-0910
41 PRINCETON DERMATOLOGY ASSOCIATESPC PRINCETONNJDERMATOLOGY 16 7,547 0.3% (609) 683-4999
42 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTONNJPHYSICIAN ASSISTANT 176 7,282 0.3% (800) 321-9999
43 OCEAN COUNTY FOOT AND ANKLE SURGICAL ASSOCIATES TOMS RIVERNJPODIATRY 23 6,936 0.3% (732) 505-4500
44 OPTUM MEDICAL CARE OF NEW JERSEY PC BAYONNENJPHYSICIAN ASSISTANT 182 6,934 0.3% (201) 471-7012
45 WESTWOOD DERMATOLOGY AND DERMATOLOGIC SURGERY GROUP, PA WEST WOODNJDERMATOLOGY 9 6,880 0.3% (201) 666-9550
46 ADVANCED UROLOGY ASSOCIATES ENTERPRISES SHREWSBURYNJUROLOGY 18 6,710 0.2% (732) 741-5923
47 SOMC MEDICAL GROUP PC BRICKNJINTERNAL MEDICINE 29 6,581 0.2% (732) 892-4548
48 TITAN HEALTH PARTNERS LLC EAST BRUNSWICKNJHEMATOLOGY/ONCOLOGY 92 6,260 0.2% (732) 390-7750
49 PREMIER HEALTH ASSOCIATES LLC SPARTANJINTERNAL MEDICINE 45 6,150 0.2% (973) 729-2121
50 PRIMARY CARE PARTNERS LLC MORRISTOWNNJINTERNAL MEDICINE 74 6,010 0.2% (973) 971-5000
51 AFFILIATED DERMATOLOGISTS AND DERMATOLOGIC SURGEONS, P.A. MORRISTOWNNJDERMATOLOGY 16 5,931 0.2% 9732670301117
52 ALL BE HEALTHY LLC BLOOMFIELDNJPHYSICAL THERAPIST IN PRIVATE PRACTICE 97 5,888 0.2% (732) 784-3578
53 ASSOCIATED RETINAL CONSULTANTS LLC TEANECKNJOPHTHALMOLOGY 115 5,820 0.2% (201) 837-7300
54 SOVEREIGN MEDICAL GROUP LLC FAIRLAWNNJUROLOGY 20 5,796 0.2% (201) 791-4544
55 NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER, LLC HACKETTSTOWNNJPHYSICIAN ASSISTANT 30 5,772 0.2% (908) 684-3005
56 HUNTERDON ORTHOPEDIC INSTITUTE PA FLEMINGTONNJORTHOPEDIC SURGERY 24 5,714 0.2% (908) 782-0600
57 HUNTERDON SPECIALTY CARE FLEMINGTONNJNURSE PRACTITIONER 97 5,700 0.2% (908) 237-4080
58 VANGUARD MEDICAL GROUP PA VERONANJPHYSICIAN ASSISTANT 58 5,510 0.2% (973) 239-2600
59 BRUNSWICK URGENT CARE P A FRANKLIN PARKNJEMERGENCY MEDICINE 9 5,175 0.2% (732) 422-4889
60 GARDEN STATE MEDICAL CENTER, LLC WHITINGNJPHYSICIAN ASSISTANT 10 5,074 0.2% (732) 202-3000
61 UROLOGY GROUP PA MIDLAND PARKNJUROLOGY 8 5,027 0.2% 2014447070216
62 UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARKNJINTERNAL MEDICINE 381 4,978 0.2% (973) 972-5004
63 ALLIED DIGESTIVE HEALTH LLC BRICKNJGASTROENTEROLOGY 274 4,971 0.2% (732) 458-8300
64 HUNTERDON PRIMARY CARE PC FLEMINGTONNJFAMILY PRACTICE 60 4,773 0.2%
65 ADVANCED ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE PC FREEHOLDNJPHYSICAL THERAPIST IN PRIVATE PRACTICE 36 4,605 0.2% (732) 720-2555
66 LAWRENCE PAOLINI, DO, PC CAPE MAY COURT HOUSENJPHYSICIAN ASSISTANT 5 4,554 0.2% 6094658788110
67 COSULICH DERMATOLOGY LLC WALLNJDERMATOLOGY 4 4,539 0.2% (732) 280-1200
68 REGIONAL WOMENS HEALTH GROUP LLC VOORHEESNJOBSTETRICS/GYNECOLOGY 352 4,537 0.2% (856) 424-3323
69 NATURAL IMAGE SKIN CENTER HACKETTSTOWNNJDERMATOLOGY 9 4,520 0.2% (908) 509-1938
70 ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC RED BANKNJORTHOPEDIC SURGERY 19 4,500 0.2% 7327412313167
71 ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE SOMERSETNJCARDIOVASCULAR DISEASE (CARDIOLOGY) 62 4,467 0.2% (732) 369-5994
72 COOPER FAMILY MEDICINE PC HADDON HEIGHTSNJINTERNAL MEDICINE 116 4,330 0.2% (856) 546-7990
73 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILLNJPHYSICIAN ASSISTANT 403 4,198 0.2% (844) 542-2273
74 CENTRAL JERSEY INTERNAL MEDICINE ASSOCIATES,PA SOMERSETNJINTERNAL MEDICINE 12 4,136 0.2% (732) 828-0002
75 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORKNJPHYSICIAN ASSISTANT 657 4,053 0.1% (212) 271-4364
76 ST LUKES WARREN PHYSICIAN GROUP PC PHILLIPSBURGNJPHYSICIAN ASSISTANT 383 3,966 0.1% (908) 847-1035
77 LEVONA HEALTH LLC NORTHFIELDNJPHYSICIAN ASSISTANT 5 3,933 0.1% 6096458884335
78 HUNTERDON HEMATOLOGY ONCOLOGY, LLC FLEMINGTONNJHEMATOLOGY/ONCOLOGY 7 3,876 0.1% (908) 237-1201
79 MOORESTOWN DERMATOLOGY ASSOCIATES PA MOORESTOWNNJDERMATOLOGY 8 3,875 0.1% (856) 235-6565
80 HOLY NAME PRIMARY CARE AND SPECIALTY ASSOCIATES PC TEANECKNJPHYSICIAN ASSISTANT 34 3,860 0.1% (201) 833-3000
81 MEDEMERGE LLC GREEN BROOKNJPHYSICIAN ASSISTANT 21 3,815 0.1% (732) 968-8900
82 PHYSICIAN PARTNERS OF ENGLEWOOD PC ENGLEWOODNJNURSE PRACTITIONER 92 3,755 0.1% (201) 568-5250
83 DANIEL S. KESSEL MD PC HAMILTON SQUARENJNURSE PRACTITIONER 8 3,748 0.1% (609) 890-2600
84 DEER CHASE MEDICAL ASSOCIATES PA TOMS RIVERNJINTERNAL MEDICINE 4 3,747 0.1%
85 ADVANCED SPINE AND PAIN LLC HAMMONTONNJPAIN MANAGEMENT 43 3,718 0.1% (888) 985-2727
86 URGENT CARE PHYSICIANS OF NEW JERSEY LLC EDISONNJNURSE PRACTITIONER 97 3,712 0.1% (732) 933-0950
87 MACAIONE AND PAPA DERMATOLOGY ASSOCIATES, PA VOORHEESNJDERMATOLOGY 7 3,588 0.1% (856) 627-1900
88 RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICKNJNURSE PRACTITIONER 387 3,546 0.1%
89 DERMATOLOGY ASSOCIATES OF CENTRAL NEW JERSEY PA OLD BRIDGENJPHYSICIAN ASSISTANT 11 3,498 0.1%
90 DERMATOLOGY ASSOCIATES OF MORRIS P.A. PARSIPPANYNJDERMATOLOGY 7 3,453 0.1% (973) 335-2560
91 CHRISTOPHER B. KRUSE, M.D., LLC RED BANKNJDERMATOLOGY 14 3,414 0.1% (732) 747-5500
92 KANE MEDICAL LLC SOMERS POINTNJPHYSICIAN ASSISTANT 3 3,359 0.1% (609) 705-7546
93 ID CARE LLC HILLSBOROUGHNJINFECTIOUS DISEASE 121 3,358 0.1% (908) 281-0221
94 DERMATOLOGY ASSOCIATES OF GLEN ROCK PA GLEN ROCKNJDERMATOLOGY 2 3,336 0.1% (201) 652-6060
95 PROFESSIONAL ORTHOPAEDIC ASSOC PA TINTON FALLSNJORTHOPEDIC SURGERY 22 3,279 0.1% 7325304949240
96 UROLOGIC HEALTH CENTER OF N.J. P.C. TOMS RIVERNJUROLOGY 5 3,265 0.1% (732) 914-1300
97 LIFELINE MEDICAL ASSOCIATES LLC DENVILLENJOBSTETRICS/GYNECOLOGY 150 3,262 0.1%
98 KUFLIK DERMATOLOGY PA SEA GIRTNJPHYSICIAN ASSISTANT 9 3,204 0.1% (732) 282-9660
99 SHORE PULMONARY, PA BRICKNJPULMONARY DISEASE 18 3,203 0.1% (732) 775-9075
100 NEW JERSEY SPINE CENTER, LLC CHATHAMNJPHYSICAL MEDICINE AND REHABILITATION 11 3,126 0.1% (973) 635-0800

*Share of New Jersey's disclosed Medicare-FFS services for 99213, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99213 in New Jersey — including groups registered elsewhere ("City" is each group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →