MAGDY NASRA, M.D.
NPI 1467496703, individual, Holmdel, NJ, Internal Medicine
- Medicaid dollars per patient on code 99310 ($182 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 | MAGDY NASRA, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 16, 2006, last updated January 14, 2010 |
| Practice location | 723 N BEERS ST, SUITE 2C, Holmdel, NJ 07733-1517, 732-888-8255 |
| Specialties | Internal Medicine (207R00000X, primary, license 25ma05934300 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 | |
|---|---|---|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $155K | 56% | $182 | $30 (top 5% from $134) | 98th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $117K | 42% | $100 | $21 (top 5% from $84) | 97th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $2K | 1% | $41 | $60 (top 5% from $133) | too few months to rank | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $2K | 1% | $74 | $14 (top 5% from $58) | too few months to rank | |
| 99356 | Prolonged service inpatient first hour (retired 2023) | $479 | 0% | $9.77 | $28 (top 5% from $117) | too few months to rank | |
| 99497 | Advance care planning, first 30 minutes | $254 | 0% | $8.18 | $11 (top 5% from $62) | too few months to rank | |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | $0 | 0% | $0.00 | $4.27 (top 5% from $28) | 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 |
|---|---|---|---|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 795 | 142 | $101K | $300 | $163 | 1.8x | 2.0x (90th percentile 3.4x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 968 | 265 | $92K | $259 | $133 | 1.9x | 2.3x (90th percentile 3.8x) |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 484 | 220 | $66K | $310 | $187 | 1.7x | 2.4x (90th percentile 4.1x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 402 | 111 | $33K | $201 | $114 | 1.8x | 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 | 111 | 79 | $17K | $300 | $191 | 1.6x | 1.9x (90th percentile 3.1x) |
| 99496 | Transitional care management services for problem of high complexity | 59 | 37 | $13K | $400 | $294 | 1.4x | 1.9x (90th percentile 3.1x) |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 75 | 54 | $8K | $200 | $131 | 1.5x | 2.2x (90th percentile 4.0x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 132 | 42 | $7K | $100 | $66 | 1.5x | 1.8x (90th percentile 2.9x) |
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
8 providers in Monmouth County, NJ carry an indicator in the public record, with $502K at stake between them. The most common is paid after a public list action, on 3 of them, followed by more hours than a day holds on 3. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | RAED JITAN Holmdel, NJ, ranked 339 | $4K |
|
| 1 | JOHN HOCHBERG Freehold, NJ, ranked 384 | $1K |
|
| 3 | BORIS VEYSMAN Freehold, NJ, ranked 1336 | $124K |
|
| 3 | WARDELL GARDENS REHAB CENTER LLC Tinton Falls, NJ, ranked 4217 | $0 |
|
| 4 | MOTY TAL Ocean, NJ, ranked 8031 | $200K |
|
| 5 | JACQUELINE ROMAN Ocean, NJ, ranked 10459 | $94K |
|
| 5 | JAYVINTH JOHNSON Ocean, NJ, ranked 11783 | $42K | |
| 5 | SUPPORTIVE CARE PSYCHOLOGY OF NJ PC Howell, NJ, ranked 11805 | $37K |
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.