STUART N RICE, MD
NPI 1366403610, individual, Summit, NJ, Anesthesiology
- Listed on the NY Medicaid exclusion list since May 11, 2015.
- Medicaid still paid claims in 12 later months, $8,652 in total.
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| NY Medicaid exclusion list ny omig medicaid exclusion list (tab-delimited, sept 2026) | Exact NPI, name verified | May 11, 2015 | still open | 12 | Aug 2021 | Nov 2023 | $9K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | STUART N RICE, MD |
| Type | Individual |
| Status | Active |
| NPI issued | March 28, 2006, last updated February 7, 2008 |
| Practice location | 33 OVERLOOK RD, STE 311, Summit, NJ 07901-3570, 908-598-1500 |
| Mailing address | PO BOX 48078, Newark, NJ 07101-4878 |
| Specialties | Anesthesiology (207L00000X, primary, license 25MA05618400 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 | |
|---|---|---|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | $9K | 100% | $49 | $50 (top 5% from $125) | 48th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 252 | 218 | $25K | $1K | $127 | 8.9x | 8.9x (90th percentile 19.0x) |
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 $18.8M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by paid after a public list action on 1. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 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 |
|
| 4 | VIPIN GARG Elizabeth, NJ, ranked 8582 | $2.8M |
|
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.