Providers
MAZHAR ELAMIR
NPI 1972527950, individual, Jersey City, NJ, Internal Medicine, Pulmonary Disease
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 36 months, but with up to 1938 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 52 of 100, rank 8424, $4.7M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 25.9 | 25.5 | 17.0 | 24.3 | 1433 | 1 | 99203 99213 99222 99231 99238 99307 | $79K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 30.6 | 31.6 | 21.1 | 28.4 | 1598 | 1 | 99203 99213 99222 99231 99238 99307 99308 | $99K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 28.1 | 28.7 | 19.1 | 28.2 | 1571 | 1 | 99203 99213 99222 99231 99238 99307 | $96K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 29.9 | 30.6 | 20.4 | 28.6 | 1557 | 1 | 99203 99213 99222 99231 99238 99307 | $91K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 31.8 | 31.7 | 21.2 | 28.5 | 1749 | 1 | 99203 99213 99222 99231 99238 99307 | $108K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 33.0 | 32.2 | 21.5 | 29.3 | 1753 | 1 | 99203 99213 99222 99231 99238 99307 | $107K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 28.5 | 27.7 | 18.4 | 27.2 | 1653 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $95K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 25.2 | 24.8 | 16.5 | 22.6 | 1602 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $83K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 25.0 | 24.5 | 16.3 | 23.0 | 1707 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $86K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 27.5 | 26.4 | 17.6 | 24.0 | 1754 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $89K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 27.3 | 24.1 | 16.1 | 23.7 | 1808 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $86K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 27.9 | 22.2 | 14.8 | 20.2 | 1698 | 1 | 99203 99212 99213 99222 99231 99238 | $78K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 25.9 | 19.3 | 12.9 | 17.3 | 1570 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $72K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 32.4 | 24.0 | 16.0 | 23.6 | 1930 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $90K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 33.0 | 24.6 | 16.4 | 23.0 | 1667 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $79K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 34.1 | 26.2 | 17.5 | 23.5 | 1938 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $91K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 29.0 | 24.5 | 16.3 | 23.3 | 1750 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $84K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 29.1 | 25.3 | 16.9 | 23.8 | 1802 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $87K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 30.7 | 25.1 | 16.7 | 22.8 | 1693 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $83K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 26.4 | 23.7 | 15.8 | 21.3 | 1667 | 1 | 99212 99213 99222 99231 99238 99307 99308 | $78K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 25.6 | 22.4 | 15.0 | 20.4 | 1653 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $76K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 27.2 | 24.4 | 16.3 | 24.0 | 1773 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $82K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 27.7 | 23.9 | 16.0 | 21.8 | 1835 | 1 | 99203 99212 99213 99222 99231 99238 99307 | $81K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 30.5 | 24.3 | 16.2 | 22.9 | 1811 | 1 | 99203 99212 99213 99214 99222 99231 99238 | $85K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 24.2 | 19.1 | 12.8 | 17.9 | 1350 | 1 | 99212 99213 99214 99222 99231 99238 | $59K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 29.8 | 23.2 | 15.5 | 20.8 | 1646 | 1 | 99203 99212 99213 99214 99222 99231 99238 99309 | $73K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 28.3 | 24.7 | 16.5 | 24.7 | 1680 | 1 | 99203 99212 99213 99214 99222 99231 99238 99309 | $76K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 27.6 | 23.5 | 15.7 | 21.1 | 1772 | 1 | 99203 99212 99213 99214 99222 99231 99238 99308 | $80K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 30.8 | 21.8 | 14.5 | 19.6 | 1664 | 1 | 99203 99212 99213 99214 99222 99231 99238 99309 | $72K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 29.1 | 24.3 | 16.2 | 23.1 | 1556 | 1 | 99203 99212 99213 99214 99222 99231 99238 99308 99309 | $72K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 25.2 | 21.5 | 14.3 | 20.2 | 1610 | 1 | 99203 99212 99213 99214 99222 99231 99238 99308 | $70K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 26.4 | 20.6 | 13.7 | 18.7 | 1455 | 1 | 99203 99212 99213 99214 99222 99231 99238 99308 99309 | $61K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 25.9 | 20.0 | 13.4 | 19.7 | 1537 | 1 | 99203 99212 99213 99214 99222 99231 99238 99308 | $65K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 29.6 | 19.7 | 13.1 | 17.7 | 1659 | 1 | 99203 99212 99213 99214 99222 99231 99238 | $72K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 27.0 | 15.0 | 10.0 | 14.8 | 1307 | 1 | 99203 99212 99213 99214 99222 99231 99238 | $55K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 29.2 | 13.4 | 9.0 | 12.2 | 1285 | 1 | 99203 99212 99213 99214 99222 99231 99238 | $50K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MAZHAR ELAMIR |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 26, 2006, last updated July 16, 2013 |
| Practice location | 192 HARRISON AVE, Jersey City, NJ 07304-1906, 201-333-5363 |
| Specialties | Internal Medicine, Pulmonary Disease (207RP1001X, primary, license 25Ma04785700 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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $3.8M | 64% | $53 | $44 (top 5% from $110) | 62nd percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $574K | 10% | $37 | $28 (top 5% from $147) | 66th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $322K | 6% | $51 | $60 (top 5% from $133) | 38th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $238K | 4% | $64 | $67 (top 5% from $121) | 46th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $191K | 3% | $68 | $37 (top 5% from $103) | 83rd percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $148K | 3% | $40 | $63 (top 5% from $137) | 22nd percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $78K | 1% | $6.59 | $12 (top 5% from $49) | 31st percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $73K | 1% | $24 | $48 (top 5% from $80) | 13th percentile |
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 |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 931 | 364 | $67K | $200 | $100 | 2.0x | 2.2x (90th percentile 3.8x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 431 | 243 | $45K | $300 | $141 | 2.1x | 2.3x (90th percentile 3.8x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 152 | 152 | $22K | $300 | $143 | 2.1x | 2.3x (90th percentile 4.1x) |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 271 | 48 | $11K | $175 | $53 | 3.3x | 2.4x (90th percentile 4.0x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 73 | 57 | $8K | $250 | $139 | 1.8x | 2.7x (90th percentile 4.4x) |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 272 | 162 | $7K | $130 | $38 | 3.4x | 2.2x (90th percentile 3.8x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 59 | 13 | $4K | $200 | $81 | 2.5x | 2.0x (90th percentile 3.4x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 51 | 38 | $4K | $298 | $87 | 3.4x | 2.6x (90th percentile 4.7x) |
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
5 providers in Hudson County, NJ carry an indicator in the public record, with $10.6M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by named in an enforcement record on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | PRIME AID PHARMACY CORP Union City, NJ, ranked 497 | $0 |
|
| 4 | JACOB JACOBY Bayonne, NJ, ranked 8071 | $8.4M |
|
| 5 | DEEPAK AMIN Union City, NJ, ranked 10009 | $1.7M |
|
| 5 | JEHAD SALIBA Kearny, NJ, ranked 11374 | $294K | |
| 5 | STEPHANIE CORPRON Jersey City, NJ, ranked 11460 | $205K |
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.