Providers
All 19 in NJ
JEFFREY MICHAEL KORNITZER, M.D.
NPI 1932499266, individual, Newark, NJ, Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
5
Evidence tier
informational
- Medicaid dollars per patient on code 99205 ($441 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10115, $973K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JEFFREY MICHAEL KORNITZER, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | April 7, 2011, last updated June 20, 2016 |
| Practice location | 90 BERGEN ST STE 8100, ROOM F-603, Newark, NJ 07103-2425, 973-972-7151 |
| Mailing address | 90 BERGEN ST, SUITE 8100, Newark, NJ 07103-2425 |
| Specialties | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (2084N0402X, primary, license 25MA09571600 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 | |
|---|---|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $1.0M | 51% | $343 | $88 (top 5% from $210) | 98th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $525K | 26% | $441 | $128 (top 5% from $249) | 99th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $225K | 11% | $142 | $60 (top 5% from $133) | 96th percentile | |
| 96132 | Evaluation of neuropsychological test, first hour | $79K | 4% | $255 | $92 (top 5% from $247) | 95th percentile | |
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | $33K | 2% | $120 | $122 (top 5% from $367) | 49th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $28K | 1% | $150 | $95 (top 5% from $171) | 89th percentile | |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | $22K | 1% | $79 | $22 (top 5% from $77) | 95th percentile | |
| 96127 | Assessment of emotional or behavioral problems | $22K | 1% | $8.71 | $4.12 (top 5% from $19) | 86th percentile |
In this area
19 providers in Essex County, NJ carry an indicator in the public record, with $12.7M at stake between them. The most common is more hours than a day holds, on 14 of them, followed by part of a provider network on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | THE BESSIE MAE WOMEN'S HEALTH CENTER East Orange, NJ, ranked 1578 | $6K |
|
| 3 | JOYCE LOPEZ & ASSOCIATES LLC East Orange, NJ, ranked 1653 | $1K |
|
| 3 | SOUTH CENTER STREET NURSING HOME, LLC Orange, NJ, ranked 1678 | $574 |
|
| 3 | LUTHERAN SOCIAL MINISTRIES AT CRANE'S MILL, INC. West Caldwell, NJ, ranked 4690 | $0 |
|
| 3 | LIVINGSTON POST ACUTE OPERATOR LLC Livingston, NJ, ranked 6942 | $0 |
|
| 4 | RAMEZ SAMUEL Newark, NJ, ranked 7292 | $3.5M |
|
| 4 | ALEXANDER SALERNO East Orange, NJ, ranked 8526 | $3.3M |
|
| 4 | CHIRAG PATEL Maplewood, NJ, ranked 9242 | $447K |
|
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.