ANTHONY WEHBE, D.O.
NPI 1275731986, individual, Mullica Hill, NJ, Internal Medicine
- Medicaid dollars per patient on code 99309 ($168 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANTHONY WEHBE, D.O. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 3, 2007, last updated October 7, 2022 |
| Practice location | 507 MULLICA HILL ROAD, Mullica Hill, NJ 08062-2665, 609-455-1576 |
| Mailing address | 328 KINGS HIGHWAY, Clarksboro, NJ 08020-1404 |
| Specialties | Internal Medicine (207R00000X, license 00324019 NJ) Internal Medicine (207R00000X, primary, license 2508676200 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 | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $185K | 36% | $120 | $21 (top 5% from $84) | 98th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $185K | 36% | $168 | $30 (top 5% from $134) | 97th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $68K | 13% | $46 | $14 (top 5% from $58) | 92nd percentile | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $38K | 7% | $54 | $37 (top 5% from $100) | 72nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $22K | 4% | $30 | $44 (top 5% from $110) | 28th percentile | |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | $7K | 1% | $87 | $17 (top 5% from $105) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $5K | 1% | $40 | $60 (top 5% from $133) | 25th percentile | |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | $4K | 1% | $57 | $10 (top 5% from $326) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 217 | 69 | $13K | $130 | $78 | 1.7x | 2.0x (90th percentile 3.4x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 97 | 52 | $8K | $150 | $112 | 1.3x | 2.0x (90th percentile 3.3x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 14 | 14 | $2K | $200 | $189 | 1.1x | 1.9x (90th percentile 3.1x) |
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 $1.5M 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 | ANNA ALBERICI Glassboro, NJ, ranked 7851 | $912K |
|
| 4 | IMRAN MIRZA Deptford, NJ, ranked 7922 | $559K |
|
| 4 | ANTHONY MISHIK West Deptford, NJ, ranked 9712 | $18K |
|
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.