| A | B | C | D | E | F | G | H | |||
| Estimated | Estimated | Estimated | ||||||||
| Estimated | Payable | Recoverable | Amount Eligible | Estimated | First Interim | |||||
| Submitted | Percent | Amount | Two-Thirds | Amount | for Distribution | Distribution | Distribution | |||
| Type | POC # | Provider Name | POC Amount | Allowable | (Col A x B) | of Col C | To Date | (Col D - E) | at 35% | w/ De Minimus |
| Ancillary | 5385 | A AND A DERMATOLOGY | $1,027.00 | 39.59% | $406.59 | $271.06 | $271.06 | $94.87 | ||
| Ancillary | 801 | A TEAM APPROACH | $2,480.00 | 39.59% | $981.83 | $654.55 | $654.55 | $229.09 | ||
| Ancillary | 2190 | ABC CHIROPRACTIC CENTER | $605.00 | 39.59% | $239.52 | $159.68 | $159.68 | $55.89 | ||
| Ancillary | 3121 | ACCUFIT BRACING | $1,408.89 | 39.59% | $557.78 | $371.85 | $371.85 | $130.15 | ||
| Ancillary | 1530 | ACE AMBULANCE SERVICE INC | $470.00 | 39.59% | $186.07 | $124.05 | $124.05 | $43.42 | ||
| Ancillary | 1731 | ACTIVIZE | $717.17 | 39.59% | $283.93 | $189.29 | $189.29 | $66.25 | ||
| Ancillary | 5585 | ADAMS LCSWBCD | $125.00 | 39.59% | $49.49 | $32.99 | $32.99 | $11.55 | ||
| Ancillary | 6030 | ADVANCED DIAG AND PSYCH THERAPY | $300.00 | 39.59% | $118.77 | $79.18 | $79.18 | $27.71 | ||
| Ancillary | 5010 | ADVANCED IMAGING AND RADIOLOGY ASSOCIATES PA | $1,976.29 | 39.59% | $782.41 | $521.61 | $521.61 | $182.56 | ||
| Ancillary | 3313 | ADVANTAGE FOOT AND ANKLE CENTERS | $31,794.55 | 39.59% | $12,587.46 | $8,391.64 | $8,391.64 | $2,937.07 | $2,937.07 | |
| Ancillary | 2981 | AERO AMBULANCE SERVICE | $4,867.25 | 39.59% | $1,926.94 | $1,284.63 | $1,284.63 | $449.62 | ||
| Ancillary | 3543 | AFFILIATED FOOT AND ANKLE CENTER LLP | $28,107.77 | 39.59% | $11,127.87 | $7,418.58 | $7,418.58 | $2,596.50 | $2,596.50 | |
| Ancillary | 2553 | AFFILIATES IN PSYCHOTHERAPY | $1,575.00 | 39.59% | $623.54 | $415.70 | $415.70 | $145.49 | ||
| Ancillary | 4779 | ALIGINIS INC | $361,190.94 | 39.59% | $142,995.49 | $95,330.33 | $95,330.33 | $33,365.62 | $33,365.62 | |
| Ancillary | 2552 | ALLCARE MEDICAL | $87,301.03 | 39.59% | $34,562.48 | $23,041.65 | $23,041.65 | $8,064.58 | $8,064.58 | |
| Ancillary | 5371 | ALLIED VISION SERVICES | $200.00 | 39.59% | $79.18 | $52.79 | $52.79 | $18.48 | ||
| Ancillary | 730 | ALTAMURO DC | $3,059.55 | 39.59% | $1,211.28 | $807.52 | $807.52 | $282.63 | ||
| Ancillary | 5723 | AMSERV HEALTHCARE OF NJ | $53,480.00 | 39.59% | $21,172.73 | $14,115.15 | $14,115.15 | $4,940.30 | $4,940.30 | |
| Ancillary | 1353 | ANTHWAL EYE ASSOCIATES | $520.00 | 39.59% | $205.87 | $137.25 | $137.25 | $48.04 | ||
| Ancillary | 5472 | ARROYO MD | $390.00 | 39.59% | $154.40 | $102.93 | $102.93 | $36.03 | ||
| Ancillary | 1350 | ARTHUR PHD | $1,540.00 | 39.59% | $609.69 | $406.46 | $406.46 | $142.26 | ||
| Ancillary | 1513 | ASSOC IN PSYCHIATRY | $9,582.07 | 39.59% | $3,793.54 | $2,529.03 | $2,529.03 | $885.16 | ||
| Ancillary | 3635 | ASSOCIATED EYE PHYSICIANS AND SURGEONS OF NJ PA | $20,455.00 | 39.59% | $8,098.13 | $5,398.76 | $5,398.76 | $1,889.56 | $1,889.56 | |
| Ancillary | 1589 | ASSOCIATED OPTHAMOLOGISTS PA | $1,530.00 | 39.59% | $605.73 | $403.82 | $403.82 | $141.34 | ||
| Ancillary | 4428 | ASSOCIATED RADIOLOGISTS PA | $170,864.13 | 46.55% | $79,544.61 | $53,029.74 | $53,029.74 | $18,560.41 | $18,560.41 | |
| Ancillary | 1525 | ATLANTIC EYE PHYSICIANS PA | $531.47 | 39.59% | $210.41 | $140.27 | $140.27 | $49.10 | ||
| Ancillary | 6024 | ATLANTIC MEDICAL IMAGING | $13,693.00 | 39.59% | $5,421.06 | $3,614.04 | $3,614.04 | $1,264.91 | $1,264.91 | |
| Ancillary | 5684 | ATLANTIC RADIOLOGISTS | $7,140.53 | 39.59% | $2,826.94 | $1,884.62 | $1,884.62 | $659.62 | ||
| Ancillary | 884 | BACK AND NECK CARE CENTER | $3,471.40 | 39.59% | $1,374.33 | $916.22 | $916.22 | $320.68 | ||
| Ancillary | 1598 | BARBIERI DMD | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | |||
| Ancillary | 952 | BARRY CHIROPRACTIC CENTER | $1,011.00 | 39.59% | $400.25 | $266.84 | $266.84 | $93.39 | ||
| Ancillary | 2665 | BAYSHORE MAMMOGRAPHY | $288.00 | 39.59% | $114.02 | $76.01 | $76.01 | $26.60 | ||
| Ancillary | 5177 | BELLEVILLE AMBULANCE | $9,950.00 | 39.59% | $3,939.21 | $2,626.14 | $2,626.14 | $919.15 | ||
| Ancillary | 878 | BENNETT DC | $1,217.00 | 39.59% | $481.81 | $321.21 | $321.21 | $112.42 | ||
| Ancillary | 836 | BERG MD | $605.00 | 39.59% | $239.52 | $159.68 | $159.68 | $55.89 | ||
| Ancillary | 6523 | BERGEN CLINICAL LABS | $251.00 | 39.59% | $99.37 | $66.25 | $66.25 | $23.19 | ||
| Ancillary | 4504 | BERGEN COMMUNITY HEALTH CARE | $9,794.75 | 39.59% | $3,877.74 | $2,585.16 | $2,585.16 | $904.81 | ||
| Ancillary | 3620 | BERGEN PASSAIC CATARACT SURGERY AND LASER CENTER | $2,447.95 | 39.59% | $969.14 | $646.10 | $646.10 | $226.13 | ||
| Ancillary | 4084 | BERGER HIRSCH AND OW | $4,382.00 | 45.77% | $2,005.64 | $1,337.09 | $1,337.09 | $467.98 | ||
| Ancillary | 3675 | BERKOWITZ MD | $7,258.00 | 39.59% | $2,873.44 | $1,915.63 | $1,915.63 | $670.47 | ||
| Ancillary | 4872 | BEY LEA VILLAGE NURSING HOME | $24,508.00 | 39.59% | $9,702.72 | $6,468.48 | $6,468.48 | $2,263.97 | $2,263.97 | |
| Ancillary | 1873 | BIO LABS USA INC | $40,114.93 | 28.48% | $11,423.18 | $7,615.45 | $7,615.45 | $2,665.41 | $2,665.41 | |
| Ancillary | 6035 | BIO MEDICAL APPLICATIONS OF EAST ORANGE INC | $1,799.67 | 39.59% | $712.49 | $474.99 | $474.99 | $166.25 | ||
| Ancillary | 6036 | BIO MEDICAL APPLICATIONS OF IRVINGTON INC | $4,298.19 | 39.59% | $1,701.65 | $1,134.44 | $1,134.44 | $397.05 | ||
| Ancillary | 5150 | BIO MEDICAL APPLICATIONS OF NJ INC | $12,083.88 | 39.59% | $4,784.01 | $3,189.34 | $3,189.34 | $1,116.27 | $1,116.27 | |
| Ancillary | 6034 | BIO MEDICAL APPLICATIONS OF TRENTON INC | $14,610.20 | 39.59% | $5,784.18 | $3,856.12 | $3,856.12 | $1,349.64 | $1,349.64 | |
| Ancillary | 3125 | BIO TRAX INTERNATIONAL INC | $88,340.00 | 39.59% | $34,973.81 | $23,315.87 | $23,315.87 | $8,160.55 | $8,160.55 | |
| Ancillary | 808 | BLOOMFIELD MEDICAL PC | $230.00 | 39.59% | $91.06 | $60.70 | $60.70 | $21.25 | ||
| Ancillary | 5299 | BOOTH RADIOLOGY ASSOCIATION | $22,564.09 | 28.67% | $6,469.12 | $4,312.75 | $4,312.75 | $1,509.46 | $1,509.46 | |
| Ancillary | 2113 | BOPF DPM | $931.00 | 39.59% | $368.58 | $245.72 | $245.72 | $86.00 | ||
| Ancillary | 4568 | BRAHIN PA | $48,695.00 | 39.59% | $19,278.35 | $12,852.23 | $12,852.23 | $4,498.28 | $4,498.28 | |
| Ancillary | 1294 | BRANCHBURG EYE PHYSICIANS | $995.68 | 39.59% | $394.19 | $262.79 | $262.79 | $91.98 | ||
| Ancillary | 910 | BRENTWOOD OPTICAL CORP | $1,423.81 | 39.59% | $563.69 | $375.79 | $375.79 | $131.53 | ||
| Ancillary | 6492 | BREYUT CONVALESCENT CENTER INC | $2,850.00 | 39.59% | $1,128.32 | $752.21 | $752.21 | $263.27 | ||
| Ancillary | 5126 | BRICK PSYCHOTHERAPY CENTER | $840.00 | 39.59% | $332.56 | $221.70 | $221.70 | $77.60 | ||
| Ancillary | 1528 | BRITTNER DPM | $148.00 | 39.59% | $58.59 | $39.06 | $39.06 | $13.67 | ||
| Ancillary | 716 | BROWN DC | $2,935.00 | 39.59% | $1,161.97 | $774.64 | $774.64 | $271.13 | ||
| Ancillary | 1973 | BROWN DPM | $17,845.44 | 39.59% | $7,065.01 | $4,710.01 | $4,710.01 | $1,648.50 | $1,648.50 | |
| Ancillary | 1399 | BRUNO DC | $1,730.45 | 39.59% | $685.09 | $456.72 | $456.72 | $159.85 | ||
| Ancillary | 5592 | BUCKLEY | $6,515.00 | 39.59% | $2,579.29 | $1,719.53 | $1,719.53 | $601.83 | ||
| Ancillary | 5225 | BURKE | $66,238.16 | 39.59% | $26,223.69 | $17,482.46 | $17,482.46 | $6,118.86 | $6,118.86 | |
| Ancillary | 6531 | BURLINGTON WOODS CONVALESCENT CTR | $46,455.86 | 39.59% | $18,391.87 | $12,261.25 | $12,261.25 | $4,291.44 | $4,291.44 | |
| Ancillary | 804 | CALDERONE JR | $3,825.00 | 39.59% | $1,514.32 | $1,009.55 | $1,009.55 | $353.34 | ||
| Ancillary | 2146 | CALZARETTO MD | $1,342.00 | 39.59% | $531.30 | $354.20 | $354.20 | $123.97 | ||
| Ancillary | 2907 | CAMARA MD | $2,071.34 | 39.59% | $820.04 | $546.70 | $546.70 | $191.34 | ||
| Ancillary | 4047 | CAMPELL OD | $1,744.12 | 39.59% | $690.50 | $460.33 | $460.33 | $161.12 | ||
| Ancillary | 4806 | CAPITAL IMAGING ASSOCIATION | $6,426.00 | 22.39% | $1,438.48 | $958.98 | $958.98 | $335.64 | ||
| Ancillary | 5687 | CARABIN MD | $1,800.00 | 39.59% | $712.62 | $475.08 | $475.08 | $166.28 | ||
| Ancillary | 1581 | CARLASCIO ORTHOPEDIC | $13,883.75 | 39.59% | $5,496.58 | $3,664.38 | $3,664.38 | $1,282.53 | $1,282.53 | |
| Ancillary | 4719 | CATANI DC | $3,135.00 | 39.59% | $1,241.15 | $827.43 | $827.43 | $289.60 | ||
| Ancillary | 2834 | CATHOLIC CHARITIES | $1,710.00 | 39.59% | $676.99 | $451.33 | $451.33 | $157.96 | ||
| Ancillary | 2636 | CENTER FOR SPEECH AND HEARING SCIENCES INC | $20,644.29 | 39.59% | $8,173.07 | $5,448.72 | $5,448.72 | $1,907.05 | $1,907.05 | |
| Ancillary | 2508 | CENTORE CHIROPRACTIC | $3,245.00 | 39.59% | $1,284.70 | $856.46 | $856.46 | $299.76 | ||
| Ancillary | 5116 | CENTRA PC | $1,073.00 | 39.59% | $424.80 | $283.20 | $283.20 | $99.12 | ||
| Ancillary | 6046 | CENTRAL JERSEY PATHOLOGY PA | $22,685.45 | 39.59% | $8,981.17 | $5,987.45 | $5,987.45 | $2,095.61 | $2,095.61 | |
| Ancillary | 1789 | CENTRAL JERSEY RADIOLOGISTS | $3,020.00 | 39.59% | $1,195.62 | $797.08 | $797.08 | $278.98 | ||
| Ancillary | 4056 | CENTRAL MEDICAL IMAGING | $3,000.00 | 39.59% | $1,187.70 | $791.80 | $791.80 | $277.13 | ||
| Ancillary | 2177 | CENTURY AMBULANCE ROCKLAND DIVISION | $1,325.33 | 39.59% | $524.70 | $349.80 | $349.80 | $122.43 | ||
| Ancillary | 3909 | CERCONE OD | $480.00 | 39.59% | $190.03 | $126.69 | $126.69 | $44.34 | ||
| Ancillary | 4212 | CHARTER BEHAVIORAL HEALTH SYSTEMS OF SUMMIT | $49,680.00 | 39.59% | $19,668.31 | $13,112.21 | $13,112.21 | $4,589.27 | $4,589.27 | |
| Ancillary | 1929 | CIMATO CHIROPRACTIC CENTER | $9,924.36 | 39.59% | $3,929.05 | $2,619.37 | $2,619.37 | $916.78 | ||
| Ancillary | 974 | CLARK PSYCHOLOGY CENTER | $1,175.00 | 39.59% | $465.18 | $310.12 | $310.12 | $108.54 | ||
| Ancillary | 3279 | CLAUSS | $30.00 | 39.59% | $11.88 | $7.92 | $7.92 | $2.77 | ||
| Ancillary | 3144 | CLIFTON MEDICAL IMAGING | $109,652.00 | 27.64% | $30,303.11 | $20,202.07 | $20,202.07 | $7,070.72 | $7,070.72 | |
| Ancillary | 3442 | CLMLD | $1,887.66 | 39.59% | $747.32 | $498.22 | $498.22 | $174.38 | ||
| Ancillary | 4301 | COASTAL CHIROPRACTIC CENTER | $90.00 | 39.59% | $35.63 | $23.75 | $23.75 | $8.31 | ||
| Ancillary | 5924 | COLUMBIA PRESBYTERIAN RADIOLOGISTS | $2,378.00 | 39.59% | $941.45 | $627.63 | $627.63 | $219.67 | ||
| Ancillary | 3569 | CONIGLIO SPORTS AND FAMILY CHIRO | $3,534.00 | 39.59% | $1,399.11 | $932.74 | $932.74 | $326.46 | ||
| Ancillary | 1670 | CONTEMPORARY AND COSMETIC DERMATOLOGY PC | $4,352.00 | 39.59% | $1,722.96 | $1,148.64 | $1,148.64 | $402.02 | ||
| Ancillary | 5458 | COOPER PATHOLOGY | $5,755.58 | 39.59% | $2,278.63 | $1,519.09 | $1,519.09 | $531.68 | ||
| Ancillary | 2057 | COOPER REHABILITATION AND SPORTS THERAPY | $2,150.00 | 39.59% | $851.19 | $567.46 | $567.46 | $198.61 | ||
| Ancillary | 1865 | COPLIN MD | $2,316.85 | 39.59% | $917.24 | $611.49 | $611.49 | $214.02 | ||
| Ancillary | 3618 | CORAL SPRINGS DIAG CTR | $675.00 | 39.59% | $267.23 | $178.16 | $178.16 | $62.35 | ||
| Ancillary | 5254 | CORAM ALTERNATE SITE SERVICES | $202,694.85 | 39.59% | $80,246.89 | $53,497.93 | $53,497.93 | $18,724.27 | $18,724.27 | |
| Ancillary | 2906 | CORNELL SURGICAL CO | $702.00 | 39.59% | $277.92 | $185.28 | $185.28 | $64.85 | ||
| Ancillary | 1588 | COSMEVO SURGICAL AND ORTHOPEDIC CORP | $5,640.94 | 39.59% | $2,233.25 | $1,488.83 | $1,488.83 | $521.09 | ||
| Ancillary | 5408 | COUNSELING ASSOCIATES OF WEST HUDSON INC | $248.00 | 39.59% | $98.18 | $65.46 | $65.46 | $22.91 | ||