Medicare provider payments and utilization data for New Jersey (NJ)
New Jersey received $36.6B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Clinical Laboratory, accounting for $505.0M in payments across 112 providers.
In 2023, 36.5K providers were actively billing Medicare in New Jersey.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $3.7B | 105.0M | 29.8K | — |
| 2015 | $3.7B | 104.4M | 30.4K | +1.2% |
| 2016 | $3.8B | 108.7M | 31.0K | +1.5% |
| 2017 | $3.7B | 105.8M | 31.7K | -3.1% |
| 2018 | $3.8B | 108.3M | 32.6K | +3.0% |
| 2019 | $3.6B | 104.6M | 33.4K | -3.5% |
| 2020 | $3.2B | 93.5M | 33.1K | -13.0% |
| 2021 | $3.7B | 107.9M | 34.3K | +17.8% |
| 2022 | $3.7B | 111.2M | 35.3K | -1.1% |
| 2023 | $3.9B | 117.7M | 36.5K | +4.8% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $321.6M | 3.4M | 13.6K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $184.1M | 2.7M | 14.1K |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $114.6M | 1.7M | 6.2K |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $96.0M | 971.4K | 4.3K |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $92.7M | 4.7M | 4.4K |
| 97530 | Therapy procedure using functional activities | $67.7M | 2.4M | 3.6K |
| J0178 | Injection, aflibercept, 1 mg | $59.0M | 85.7K | 85 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $58.9M | 413.4K | 5.0K |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $52.5M | 634.2K | 1.4K |
| 66984 | Removal of cataract with insertion of prosthetic lens | $52.4M | 78.1K | 371 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $52.1M | 140.9K | 227 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $47.6M | 2.0M | 3.5K |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $46.7M | 365.7K | 7.2K |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $45.0M | 329.0K | 3.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $45.0M | 222.0K | 65 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | $42.3M | 725.5K | 1.4K |
| 92014 | Established patient complete exam of visual system | $39.4M | 401.3K | 1.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $38.7M | 330.6K | 3.4K |
| 99285 | Emergency department visit with high level of medical decision making | $38.3M | 263.0K | 1.5K |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $36.0M | 2.1M | 3.5K |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Clinical Laboratory | $505.0M | 112 | $4.5M |
| Internal Medicine | $351.0M | 3.5K | $101.1K |
| Physical Therapist in Private Practice | $236.9M | 3.8K | $61.9K |
| Ophthalmology | $219.6M | 522 | $420.7K |
| Cardiology | $208.8M | 881 | $237.0K |
| Nurse Practitioner | $170.5M | 4.1K | $41.5K |
| Ambulatory Surgical Center | $149.4M | 207 | $721.8K |
| Diagnostic Radiology | $142.9M | 842 | $169.7K |
| Ambulance Service Provider | $123.5M | 245 | $504.2K |
| Family Practice | $110.3M | 1.7K | $65.0K |
| Hematology-Oncology | $94.3M | 287 | $328.5K |
| Podiatry | $89.4M | 883 | $101.2K |
| Dermatology | $79.2M | 350 | $226.2K |
| Orthopedic Surgery | $77.9M | 627 | $124.3K |
| Rheumatology | $72.1M | 167 | $431.5K |
| Emergency Medicine | $65.5M | 1.3K | $51.3K |
| Urology | $58.0M | 299 | $193.9K |
| Physician Assistant | $57.8M | 2.0K | $29.3K |
| Mass Immunizer Roster Biller | $56.8M | 887 | $64.0K |
| Physical Medicine and Rehabilitation | $56.4M | 416 | $135.7K |
| Nephrology | $52.7M | 307 | $171.5K |
| Neurology | $51.9M | 442 | $117.4K |
| Pulmonary Disease | $51.7M | 348 | $148.4K |
| Gastroenterology | $50.1M | 538 | $93.1K |
| Pathology | $47.0M | 261 | $180.1K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.