HIP Ancillary


Proof of Claim # Name (A) Submitted Proof of Claim Amount (B) Estimated Percent Allowable (C) Estimated Payable Amount (Col A x Col B) (D) Two-Thirds of Column C (E) Recovery Amount to Date (F) Estimated Amount Eligible for Distribution (Col D - Col E) (G) Estimated Distribution at 60% (H) Prior Interim Distribution Payments (I) Proposed Interim Distribution With Deminimus Ancillary - $1,000; Hospital - $3,000; Physician - $1,000
5385 A AND A DERMATOLOGY $1,027.00 83.15% $854.00 $569.33   $569.33 $341.60 $0.00  
801 A TEAM APPROACH $2,480.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
2190 ABC CHIROPRACTIC CENTER $605.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
3121 ACCUFIT BRACING $1,408.89 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1530 ACE AMBULANCE SERVICE INC $470.00 17.87% $84.00 $56.00   $56.00 $33.60 $0.00  
2824 ACTIVE FOOT AND ANKLE CARE CENTER $7,540.50 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1731 ACTIVIZE $717.17 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5585 ADAMS LCSWBCD $125.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
6030 ADVANCED DIAG AND PSYCH THERAPY $300.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5010 ADVANCED IMAGING AND RADIOLOGY ASSOCIATES PA $1,976.29 11.18% $221.00 $147.33   $147.33 $88.40 $0.00  
3313 ADVANTAGE FOOT AND ANKLE CENTERS $31,794.55 0.00% $0.00 $0.00   $0.00 $0.00 $2,937.07  
2981 AERO AMBULANCE SERVICE $4,867.25 83.58% $4,068.25 $2,712.17   $2,712.17 $1,627.30 $0.00 $1,627.30
3543 AFFILIATED FOOT AND ANKLE CENTER LLP $28,107.77 0.00% $0.00 $0.00   $0.00 $0.00 $2,596.50  
2553 AFFILIATES IN PSYCHOTHERAPY $1,575.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
4779 ALIGINIS INC $361,190.94 27.55% $99,519.12 $66,346.08   $66,346.08 $39,807.65 $33,365.62 $2,978.92
2552 ALLCARE MEDICAL $87,301.03 13.73% $11,983.17 $7,988.78   $7,988.78 $4,793.27 $8,064.58  
5371 ALLIED VISION SERVICES $200.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
730 ALTAMURO DC $3,059.55 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5723 AMSERV HEALTHCARE OF NJ $53,480.00 0.00% $0.00 $0.00   $0.00 $0.00 $4,940.30  
1353 ANTHWAL EYE ASSOCIATES $520.00 69.04% $359.00 $239.33   $239.33 $143.60 $0.00  
5472 ARROYO MD $390.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1350 ARTHUR PHD $1,540.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1513 ASSOC IN PSYCHIATRY $9,582.07 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
3635 ASSOCIATED EYE PHYSICIANS AND SURGEONS OF NJ PA $20,455.00 0.00% $0.00 $0.00   $0.00 $0.00 $1,889.56  
1589 ASSOCIATED OPTHAMOLOGISTS PA $1,530.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
4428 ASSOCIATED RADIOLOGISTS PA $170,864.13 45.34% $77,475.72 $51,650.48   $51,650.48 $30,990.29 $24,675.82 $6,314.47
1525 ATLANTIC EYE PHYSICIANS PA $531.47 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
6024 ATLANTIC MEDICAL IMAGING $13,693.00 50.41% $6,903.00 $4,602.00   $4,602.00 $2,761.20 $3,450.88  
5684 ATLANTIC RADIOLOGISTS $7,140.53 51.44% $3,673.01 $2,448.67   $2,448.67 $1,469.20 $1,327.22  
884 BACK AND NECK CARE CENTER $3,471.40 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1598 BARBIERI DMD $12,365.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
952 BARRY CHIROPRACTIC CENTER $1,011.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
2665 BAYSHORE MAMMOGRAPHY $288.00 32.50% $93.60 $62.40   $62.40 $37.44 $0.00  
5022 BELL OD $13,927.10 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5177 BELLEVILLE AMBULANCE $9,950.00 33.29% $3,312.50 $2,208.33   $2,208.33 $1,325.00 $1,104.17  
878 BENNETT DC $1,217.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
836 BERG MD $605.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
6523 BERGEN CLINICAL LABS $251.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
4504 BERGEN COMMUNITY HEALTH CARE $9,794.75 39.34% $3,853.24 $2,568.83   $2,568.83 $1,541.30 $1,284.41  
3620 BERGEN PASSAIC CATARACT SURGERY AND LASER CENTER $2,447.95 110.12% $2,695.80 $1,797.20   $1,797.20 $1,078.32 $0.00 $1,078.32
4084 BERGER HIRSCH AND OW $4,382.00 47.38% $2,076.00 $1,384.00   $1,384.00 $830.40 $0.00  
3675 BERKOWITZ MD $7,258.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
4872 BEY LEA VILLAGE NURSING HOME $24,508.00 9.18% $2,250.00 $1,500.00   $1,500.00 $900.00 $2,263.97  
5266 BIEBEL DPM $4,537.31 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1873 BIO LABS USA INC $40,114.93 31.96% $12,818.93 $8,545.95   $8,545.95 $5,127.57 $3,890.31 $1,237.26
6035 BIO MEDICAL APPLICATIONS OF EAST ORANGE INC $1,799.67 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
6036 BIO MEDICAL APPLICATIONS OF IRVINGTON INC $4,298.19 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5150 BIO MEDICAL APPLICATIONS OF NJ INC $109,055.61 0.40% $441.60 $294.40   $294.40 $176.64 $1,116.27  
6034 BIO MEDICAL APPLICATIONS OF TRENTON INC $14,610.20 0.00% $0.00 $0.00   $0.00 $0.00 $1,349.64  
3125 BIO TRAX INTERNATIONAL INC $88,340.00 38.39% $33,914.35 $22,609.57   $22,609.57 $13,565.74 $13,202.34  
808 BLOOMFIELD MEDICAL PC $230.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5299 BOOTH RADIOLOGY ASSOCIATION $22,564.09 29.58% $6,674.47 $4,449.65   $4,449.65 $2,669.79 $1,509.46 $1,160.33
2113 BOPF DPM $931.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
4568 BRAHIN PA $48,695.00 37.31% $18,169.90 $12,113.27   $12,113.27 $7,267.96 $6,957.32  
1294 BRANCHBURG EYE PHYSICIANS $995.68 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
6492 BREYUT CONVALESCENT CENTER INC $2,850.00 99.23% $2,828.00 $1,885.33   $1,885.33 $1,131.20 $0.00 $1,131.20
5126 BRICK PSYCHOTHERAPY CENTER $840.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1528 BRITTNER DPM $148.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
716 BROWN DC $2,935.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1973 BROWN DPM $17,845.44 0.00% $0.00 $0.00   $0.00 $0.00 $1,648.50  
1399 BRUNO DC $1,730.45 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5592 BUCKLEY $6,515.00 41.67% $2,715.00 $1,810.00   $1,810.00 $1,086.00 $1,277.59  
5225 BURKE $66,238.16 0.00% $0.00 $0.00   $0.00 $0.00 $6,118.86  
6531 BURLINGTON WOODS CONVALESCENT CTR $46,455.86 12.17% $5,655.00 $3,770.00   $3,770.00 $2,262.00 $4,291.44  
804 CALDERONE JR $3,825.00 89.02% $3,405.00 $2,270.00   $2,270.00 $1,362.00 $1,135.00  
2146 CALZARETTO MD $1,342.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
2907 CAMARA MD $2,071.34 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
4047 CAMPELL OD $1,744.12 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
798 CANCELL $1,461.67 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
4806 CAPITAL IMAGING ASSOCIATION $6,426.00 36.60% $2,351.99 $1,567.99   $1,567.99 $940.80 $0.00  
5687 CARABIN MD $7,800.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1581 CARLASCIO ORTHOPEDIC $13,883.75 19.54% $2,713.40 $1,808.93   $1,808.93 $1,085.36 $1,282.53  
4719 CATANI DC $3,135.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
2834 CATHOLIC CHARITIES $1,710.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5945 CBC (Capitated) $1,208,456.63 81.93% $990,076.02 $660,050.68   $660,050.68 $396,030.41 $330,025.34 $66,005.07
2636 CENTER FOR SPEECH AND HEARING SCIENCES INC $20,644.29 16.68% $3,443.00 $2,295.33   $2,295.33 $1,377.20 $1,907.05  
3050 CENTERS FOR HEALTHCARE $21,077.08 0.00% $0.00 $0.00   $0.00 $0.00 $1,492.61  
2508 CENTORE CHIROPRACTIC $3,245.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5116 CENTRA PC $1,073.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
6046 CENTRAL JERSEY PATHOLOGY PA $22,685.45 0.00% $0.00 $0.00   $0.00 $0.00 $2,095.61  
1789 CENTRAL JERSEY RADIOLOGISTS $55,905.00 61.32% $34,283.04 $22,855.36   $22,855.36 $13,713.22 $0.00 $13,713.22
4056 CENTRAL MEDICAL IMAGING $3,000.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
2177 CENTURY AMBULANCE ROCKLAND DIVISION $1,325.33 28.75% $381.08 $254.05   $254.05 $152.43 $0.00  
3909 CERCONE OD $480.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
4212 CHARTER BEHAVIORAL HEALTH SYSTEMS OF SUMMIT $49,680.00 0.00% $0.00 $0.00   $0.00 $0.00 $4,589.27  
1929 CIMATO CHIROPRACTIC CENTER $9,924.36 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
974 CLARK PSYCHOLOGY CENTER $1,175.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
3279 CLAUSS $30.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
3144 CLIFTON MEDICAL IMAGING $109,652.00 32.38% $35,505.00 $23,670.00   $23,670.00 $14,202.00 $10,961.00 $3,241.00
3442 CLMLD $1,887.66 33.06% $623.97 $415.98   $415.98 $249.59 $0.00  
4301 COASTAL CHIROPRACTIC CENTER $90.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5924 COLUMBIA PRESBYTERIAN RADIOLOGISTS $2,378.00 40.62% $966.00 $644.00   $644.00 $386.40 $0.00  
3569 CONIGLIO SPORTS AND FAMILY CHIRO $3,534.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1670 CONTEMPORARY AND COSMETIC DERMATOLOGY PC $4,352.00 42.28% $1,840.00 $1,226.67   $1,226.67 $736.00 $0.00  
5458 COOPER PATHOLOGY $5,755.58 74.82% $4,306.53 $2,871.02   $2,871.02 $1,722.61 $1,552.91  
2057 COOPER REHABILITATION AND SPORTS THERAPY $2,150.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
1865 COPLIN MD $2,316.85 81.14% $1,880.00 $1,253.33   $1,253.33 $752.00 $0.00  
3618 CORAL SPRINGS DIAG CTR $675.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
5254 CORAM ALTERNATE SITE SERVICES $202,694.85 0.00% $0.00 $0.00   $0.00 $0.00 $18,724.27  
2906 CORNELL SURGICAL CO $702.00 100.00% $702.00 $468.00   $468.00 $280.80 $0.00  
1588 COSMEVO SURGICAL AND ORTHOPEDIC CORP $5,640.94 94.49% $5,330.18 $3,553.45   $3,553.45 $2,132.07 $1,776.73  
5408 COUNSELING ASSOCIATES OF WEST HUDSON INC $248.00 0.00% $0.00 $0.00   $0.00 $0.00 $0.00  
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