Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Rwjbh Emergency Medicine Associates, LLC

Nurse Practitioner, Primary Care

Somerset, New Jersey

NPI: 1912510041

Risk Tier

Elevated

Total Paid

$118.0M

$117,964,206

Total Claims

1.1M

Beneficiaries

933K

Avg Cost/Claim

$109.16

Statistical Fraud Flags (1)

Billing Swing

Experienced over 200% change in year-over-year billing with >$1M absolute change.

Billing changed from $14.1M (2022) to $43.4M (2023) — a 208% swing with $29.3M absolute change.

Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.

Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024