Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

BARNABAS HEALTH MEDICAL GROUP PC

Internal Medicine·ELIZABETH, NJ·NPI: 1841557246Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.9M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$39.9M

$39,910,216

Total Claims

901K

Beneficiaries

758K

1.2 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-12%
2019
$1.8M
+43%
2020
$2.6M
+47%
2021
$3.9M
+45%
2022
$5.6M
+39%
2023
$7.8M
+106%
2024
$16.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 27% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$10.9M

170K claims · 27.2%

Your Cost: $63.84/claim|Median: $53.41
1.2× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$7.0M

128K claims · 17.6%

Your Cost: $54.83/claim|Median: $37.81
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$2.8M

28K claims · 7.0%

Your Cost: $100.81/claim|Median: $74.09
1.4× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$2.6M

23K claims · 6.5%

Your Cost: $110.00/claim|Median: $84.03
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.5M

29K claims · 3.7%

Your Cost: $51.61/claim|Median: $54.68
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.0M

6,987 claims · 2.6%

Your Cost: $146.72/claim|Median: $106.79
1.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$998K

44K claims · 2.5%

Your Cost: $22.93/claim|Median: $23.99
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$845K

8,129 claims · 2.1%

Your Cost: $103.98/claim|Median: $101.24
1.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$722K

13K claims · 1.8%

Your Cost: $57.51/claim|Median: $49.45
1.2× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$672K

10K claims · 1.7%

Your Cost: $65.69/claim|Median: $57.85
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$610K

19K claims · 1.5%

Your Cost: $31.94/claim|Median: $58.55
0.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$583K

95K claims · 1.5%

Your Cost: $6.15/claim|Median: $5.60
1.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$538K

43K claims · 1.3%

Your Cost: $12.43/claim|Median: $9.70
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$534K

12K claims · 1.3%

Your Cost: $43.49/claim|Median: $25.06
1.7× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$520K

7,224 claims · 1.3%

Your Cost: $71.94/claim|Median: $47.65
1.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$371K

6,214 claims · 0.9%

Your Cost: $59.78/claim|Median: $62.48
1.0× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$368K

1,968 claims · 0.9%

Your Cost: $186.93/claim|Median: $111.09
1.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$366K

9,837 claims · 0.9%

Your Cost: $37.16/claim|Median: $35.30
1.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$355K

3,606 claims · 0.9%

Your Cost: $98.57/claim|Median: $69.35
1.4× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$353K

5,909 claims · 0.9%

Your Cost: $59.79/claim|Median: $37.22
1.6× median
59409Top 10%

Vaginal delivery only

$352K

347 claims · 0.9%

Your Cost: $1,014.03/claim|Median: $619.91
1.6× median
76818Normal range

$331K

7,578 claims · 0.8%

Your Cost: $43.74/claim|Median: $68.15
0.6× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$328K

3,016 claims · 0.8%

Your Cost: $108.82/claim|Median: $75.18
1.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$273K

5,054 claims · 0.7%

Your Cost: $54.09/claim|Median: $51.25
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$253K

2,147 claims · 0.6%

Your Cost: $117.79/claim|Median: $121.58
1.0× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$252K

2,357 claims · 0.6%

Your Cost: $107.00/claim|Median: $98.15
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$209K

2,940 claims · 0.5%

Your Cost: $71.04/claim|Median: $67.32
1.1× median
76820Normal range

$200K

6,039 claims · 0.5%

Your Cost: $33.06/claim|Median: $31.79
1.0× median
76830Top 10%

Ultrasound, transvaginal

$192K

1,599 claims · 0.5%

Your Cost: $119.97/claim|Median: $57.47
2.1× median
93303Normal range

Echocardiography, transthoracic, limited

$166K

1,863 claims · 0.4%

Your Cost: $89.07/claim|Median: $112.83
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$163K

7,480 claims · 0.4%

Your Cost: $21.81/claim|Median: $29.03
0.8× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$151K

1,431 claims · 0.4%

Your Cost: $105.73/claim|Median: $74.82
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$134K

15K claims · 0.3%

Your Cost: $8.67/claim|Median: $17.85
0.5× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$129K

1,365 claims · 0.3%

Your Cost: $94.44/claim|Median: $103.70
0.9× median
14301Top 25%

$125K

116 claims · 0.3%

Your Cost: $1,074.65/claim|Median: $496.50
2.2× median
G0108Normal range

Diabetes self-management training, individual

$118K

3,523 claims · 0.3%

Your Cost: $33.41/claim|Median: $35.89
0.9× median
43239Top 25%

Upper GI endoscopy with biopsy

$107K

310 claims · 0.3%

Your Cost: $345.23/claim|Median: $151.68
2.3× median
14302Top 1%

$105K

68 claims · 0.3%

Your Cost: $1,545.39/claim|Median: $349.20
4.4× median
43775Normal range

$94K

138 claims · 0.2%

Your Cost: $682.63/claim|Median: $619.12
1.1× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$87K

853 claims · 0.2%

Your Cost: $102.11/claim|Median: $43.85
2.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$87K

1,186 claims · 0.2%

Your Cost: $73.06/claim|Median: $76.06
1.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$73K

1,995 claims · 0.2%

Your Cost: $36.77/claim|Median: $74.78
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$73K

6,278 claims · 0.2%

Your Cost: $11.66/claim|Median: $11.48
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$73K

1,083 claims · 0.2%

Your Cost: $67.55/claim|Median: $72.71
0.9× median
99243Normal range

Office or other outpatient consultation, low complexity

$72K

804 claims · 0.2%

Your Cost: $89.44/claim|Median: $82.43
1.1× median
94010Top 25%

$68K

2,511 claims · 0.2%

Your Cost: $26.96/claim|Median: $18.11
1.5× median
77427Normal range

$65K

632 claims · 0.2%

Your Cost: $103.16/claim|Median: $83.73
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$55K

539 claims · 0.1%

Your Cost: $102.43/claim|Median: $233.73
0.4× median
93018Top 10%

$55K

3,150 claims · 0.1%

Your Cost: $17.39/claim|Median: $8.92
1.9× median
90472Normal range

Immunization administration, each additional vaccine

$54K

3,133 claims · 0.1%

Your Cost: $17.12/claim|Median: $11.79
1.5× median

Other Top Providers in New Jersey

View all →

Department of Health and Senior Services

Specialist

$1.07B

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$717.5M

Care Finders Total Care LLC

Home Health

$708.7M

Quest Diagnostics Incorporated

Clinical Medical Laboratory

$637.7M

Bioreference Health LLC

Clinical Medical Laboratory

$620.1M

Similar Providers

Other top providers in Internal Medicine

New York City Health and Hospitals Corporation

Bronx, NY

$217.7M

Community Physicians of Indiana INC

Indianapolis, IN

$185.3M

New York City Health and Hospitals Corporation

Brooklyn, NY

$178.8M

New York City Health and Hospitals Corporation

New York, NY

$176.3M

Prisma Health University Medical Group

Greenville, SC

$172.2M

← All providersAll providers in New Jersey →How we detect fraud →