Providers
All 10 in NJ
ANSHU GOYAL GARG, M.D.
NPI 1043373715, individual, Elizabeth, NJ, Internal Medicine, Cardiovascular Disease
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 2 months, but with up to 768 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8906, $1.3M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 24.1 | 13.7 | 9.1 | 12.3 | 711 | 2 | 99204 99205 99213 99214 99215 99223 99233 99291 | $35K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 25.2 | 12.4 | 8.2 | 11.1 | 719 | 1 | 99205 99212 99213 99214 99215 99222 99223 99233 99291 | $31K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANSHU GOYAL GARG, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | December 17, 2006, last updated June 9, 2011 |
| Practice location | 240 WILLIAMSON ST, SUITE 300, Elizabeth, NJ 07202-3674, 908-994-8880 |
| Mailing address | 2190 CLOVE RD, Staten Island, NY 10305-1543 |
| Specialties | Internal Medicine, Cardiovascular Disease (207RC0000X, license 232971 NY) Internal Medicine, Cardiovascular Disease (207RC0000X, primary, license 25MA07849300 NJ) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $952K | 22% | $48 | $88 (top 5% from $210) | 18th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $513K | 12% | $33 | $44 (top 5% from $110) | 33rd percentile | |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $438K | 10% | $54 | $52 (top 5% from $244) | 52nd percentile | |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | $408K | 9% | $122 | $109 (top 5% from $592) | 52nd percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $328K | 8% | $100 | $96 (top 5% from $249) | 53rd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $208K | 5% | $40 | $60 (top 5% from $133) | 25th percentile | |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | $143K | 3% | $35 | $47 (top 5% from $120) | 28th percentile | |
| 93880 | Ultrasound of both sides of head and neck blood flow | $132K | 3% | $47 | $60 (top 5% from $173) | 43rd percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 2,039 | 150 | $203K | $200 | $125 | 1.6x | 2.6x (90th percentile 4.7x) |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 954 | 290 | $146K | $267 | $196 | 1.4x | 2.4x (90th percentile 4.1x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 1,416 | 323 | $109K | $121 | $99 | 1.2x | 2.2x (90th percentile 3.8x) |
| 99291 | Critical care, first 30-74 minutes | 381 | 68 | $68K | $500 | $223 | 2.2x | 4.7x (90th percentile 10.0x) |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 347 | 337 | $34K | $729 | $125 | 5.8x | 3.4x (90th percentile 7.7x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 446 | 55 | $30K | $150 | $83 | 1.8x | 2.6x (90th percentile 4.3x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 271 | 163 | $27K | $298 | $136 | 2.2x | 2.3x (90th percentile 3.8x) |
| 93880 | Ultrasound of both sides of head and neck blood flow | 156 | 155 | $27K | $400 | $214 | 1.9x | 3.3x (90th percentile 8.0x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
10 providers in Union County, NJ carry an indicator in the public record, with $17.6M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by paid after a public list action on 2. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | STUART RICE Summit, NJ, ranked 296 | $9K |
|
| 1 | STEVEN BROWNSTEIN Springfield, NJ, ranked 435 | $199 |
|
| 1 | ELITE PHARMACY, INC Linden, NJ, ranked 588 | $0 |
|
| 4 | EDGARDO TAN Elizabeth, NJ, ranked 7312 | $1.7M |
|
| 4 | TREVOR FORBES Springfield, NJ, ranked 7459 | $4.8M |
|
| 4 | IROKA IFEGWU Union, NJ, ranked 7672 | $2.1M |
|
| 4 | FEHINTOLA OGUNSAKIN Elizabeth, NJ, ranked 7700 | $1.9M |
|
| 4 | KAMRAN TASHAROFI Garwood, NJ, ranked 8571 | $2.9M |
|
Recent enforcement in NJ
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJul 29, 2026
Fraud Division Resolves Fraud Investigation of Eye Care Group Under New Corporate Enforcement Policy; Health Care Executive Charged for Alleged Fraud and Kickbacks
DiDonato allegedly conspired to defraud Medicare by billing for unnecessary and duplicative diagnostic eye tests and paid kickbacks and bribes to ophthalmologists disguised as consulting fees for patient referrals, while Campus Eye received a declination after self-disclosing and agreed to pay back $1 million to victims.
DOJIndictedJul 29, 2026
Founder And Former CEO of New Jersey Based Eye Care Group Charged with Health Care Fraud Conspiracy and Paying Illegal Kickbacks
DiDonato allegedly paid kickbacks disguised as consulting fees to ophthalmologists for patient referrals and billed Medicare approximately $3.4 million for duplicative or unnecessary diagnostic tests performed at his optometry practice and eye surgery center.
DOJChargedJul 9, 2026
Six Individuals, Including a Pharmacist and Doctor, Charged in Connection with $20 Million Healthcare Fraud and Kickback Scheme
A pharmacy owner paid cash kickbacks to a doctor, advanced practice nurses, and an office manager in exchange for medically unnecessary prescriptions for high-reimbursement medications billed to Medicare and Medicaid.
DOJPleaded guiltyJun 24, 2026
Cape May County Psychiatrist Admits to 17 Felony Counts for Unlawful Controlled Substance Prescriptions Linked to Sexual Conduct, Risk of Death, and Serious Bodily Injury
A psychiatrist issued invalid prescriptions for Adderall, Vyvanse, and Xanax to 17 patients outside the usual course of professional practice, with intent to defraud and mislead the dispensing pharmacies and the insurers, government benefits programs, and other third parties who paid for the drugs, sometimes in exchange for sexual activities, images, or videos.
DOJSentencedMay 21, 2026
New Jersey Physical Therapist Sentenced to 12 Months in Prison for Health Care Fraud Scheme Targeting Amtrak
Kim, a licensed physical therapist, allowed her license and business bank accounts to be used to bill Amtrak's health care plan for claims for services that never were provided and were medically unnecessary, in return for a portion of the proceeds.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.