Providers
IMRAN A MIRZA, M.D.
NPI 1376573204, individual, Deptford, NJ, Internal Medicine, Critical Care Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 11 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99310 ($166 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7922, $559K 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 25.7 | 46.1 | 30.7 | 41.4 | 332 | 1 | 99213 99214 99306 99309 99310 | $36K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 27.0 | 40.9 | 27.3 | 37.7 | 318 | 1 | 99213 99214 99306 99309 99310 | $29K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 27.3 | 31.5 | 21.0 | 31.0 | 335 | 1 | 99213 99214 99306 99309 99310 | $24K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 34.9 | 49.0 | 32.7 | 44.6 | 399 | 1 | 99213 99214 99306 99309 99310 | $37K |
| May 2024 | More hours than a day holds at a conservative unit price | 20.6 | 52.9 | 35.2 | 47.5 | 254 | 1 | 99213 99214 99306 99309 99310 | $41K |
| Jun 2024 | More hours than a day holds at a conservative unit price | 23.5 | 49.6 | 33.1 | 49.6 | 339 | 1 | 99213 99306 99309 99310 | $37K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 30.2 | 43.6 | 29.1 | 39.2 | 435 | 1 | 99213 99214 99306 99309 99310 | $34K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 27.9 | 43.9 | 29.3 | 41.3 | 366 | 1 | 99213 99214 99306 99309 99310 | $34K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 32.3 | 42.6 | 28.4 | 40.6 | 430 | 1 | 99213 99214 99306 99309 99310 | $32K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 32.3 | 44.3 | 29.6 | 39.8 | 409 | 1 | 99213 99214 99306 99309 99310 | $34K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 25.7 | 46.3 | 30.8 | 44.1 | 429 | 1 | 99213 99214 99306 99309 99310 | $35K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | IMRAN A MIRZA, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 4, 2006, last updated July 14, 2026 |
| Practice location | 1132 COOPER ST, Deptford, NJ 08096-3014, 856-848-8060 |
| Mailing address | PO BOX 69, Mickleton, NJ 08056-0069 |
| Specialties | Internal Medicine (207R00000X, license 25MA08024700 NJ) Internal Medicine, Critical Care Medicine (207RC0200X, primary, license MD431989 PA) Clinic/Center, Urgent Care (261QU0200X, license 25MA08024700 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 | |
|---|---|---|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $386K | 43% | $166 | $30 (top 5% from $134) | 97th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $266K | 30% | $46 | $21 (top 5% from $84) | 84th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $89K | 10% | $42 | $44 (top 5% from $110) | 47th percentile | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $63K | 7% | $35 | $37 (top 5% from $100) | 47th percentile | |
| 99404 | Preventive counseling individual 60 min | $49K | 5% | $47 | $98 (top 5% from $181) | 37th percentile | |
| 99316 | Nursing facility discharge management, more than 30 minutes | $26K | 3% | $23 | $38 (top 5% from $83) | 30th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $19K | 2% | $65 | $60 (top 5% from $133) | 56th percentile | |
| 36415 | Insertion of needle into vein for collection of blood sample | $120 | 0% | $2.36 | $1.97 (top 5% from $12) | too few months to rank |
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 |
|---|---|---|---|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 4,310 | 368 | $494K | $219 | $148 | 1.5x | 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 | 3,902 | 340 | $302K | $175 | $104 | 1.7x | 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 | 573 | 429 | $77K | $270 | $175 | 1.5x | 1.9x (90th percentile 3.1x) |
| 99316 | Nursing facility discharge management, more than 30 minutes | 328 | 261 | $32K | $170 | $126 | 1.4x | 1.9x (90th percentile 3.5x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 60 | 19 | $3K | $158 | $96 | 1.6x | 2.2x (90th percentile 3.8x) |
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 $1.4M 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 | 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.
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.