ANNA ALBERICI, D.O
NPI 1184650848, individual, Glassboro, NJ, Family Medicine
- Hours beyond a day in 7 months, but with up to 1571 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99460 ($112 per patient-month) sit in the top 5% of every provider billing that code.
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 | 25.4 | 14.7 | 9.8 | 13.3 | 1490 | 1 | 99202 99203 99212 99213 99214 99222 99223 99232 99233 99238 99239 | $43K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 25.4 | 15.0 | 10.0 | 14.0 | 1514 | 1 | 99202 99203 99212 99213 99214 99222 99232 99238 99239 | $42K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 26.2 | 16.4 | 10.9 | 16.1 | 1571 | 1 | 99202 99203 99212 99213 99214 99222 99223 99232 99233 99238 99239 | $47K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 26.5 | 15.3 | 10.2 | 13.9 | 1476 | 1 | 99201 99202 99203 99212 99213 99214 99222 99223 99232 99233 99238 99239 | $43K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 26.5 | 14.9 | 10.0 | 13.4 | 1491 | 1 | 99202 99203 99212 99213 99214 99221 99222 99223 99232 99233 99238 99239 | $41K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 24.8 | 13.8 | 9.2 | 13.8 | 1389 | 1 | 99202 99203 99212 99213 99214 99222 99223 99232 99233 99238 99239 | $36K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 24.5 | 14.7 | 9.8 | 14.2 | 1247 | 1 | 99202 99203 99212 99213 99214 99221 99222 99223 99232 99233 99238 99239 | $34K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANNA ALBERICI, D.O |
| Type | Individual |
| Status | Active |
| NPI issued | June 24, 2006, last updated February 1, 2012 |
| Practice location | 335 DELSEA DR N, Glassboro, NJ 08028-1403, 856-451-4700 |
| Specialties | Family Medicine (207Q00000X, primary, license MB05347600 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $793K | 30% | $25 | $44 (top 5% from $110) | 21st percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $538K | 20% | $33 | $60 (top 5% from $133) | 18th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $179K | 7% | $46 | $67 (top 5% from $174) | 25th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $99K | 4% | $18 | $28 (top 5% from $147) | 31st percentile | |
| 99460 | Medicaid service code | $95K | 4% | $112 | $74 (top 5% from $106) | 96th percentile | |
| 90471 | Administration of vaccine | $91K | 3% | $11 | $10 (top 5% from $23) | 55th percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $85K | 3% | $21 | $26 (top 5% from $54) | 37th percentile | |
| 99393 | Medicaid service code | $68K | 3% | $48 | $78 (top 5% from $121) | 23rd percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 296 | 65 | $19K | $162 | $81 | 2.0x | 2.6x (90th percentile 4.3x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 65 | 57 | $9K | $459 | $178 | 2.6x | 3.0x (90th percentile 5.6x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | 27 | $3K | $305 | $134 | 2.3x | 2.7x (90th percentile 4.4x) |
| 99239 | Hospital discharge day management, more than 30 minutes | 25 | 25 | $2K | $296 | $118 | 2.5x | 2.8x (90th percentile 5.6x) |
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
4 providers in Gloucester County, NJ carry an indicator in the public record, with $1.1M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | RAMESH SARVAIYA Woodbury, NJ, ranked 291 | $10K |
|
| 4 | IMRAN MIRZA Deptford, NJ, ranked 7922 | $559K |
|
| 4 | ANTHONY MISHIK West Deptford, NJ, ranked 9712 | $18K |
|
| 5 | ANTHONY WEHBE Mullica Hill, NJ, ranked 10275 | $473K |
|
Recent enforcement in NJ
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.