Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Virginia De Guzman MD Limited Liability Company

Virginia De Guzman MD Limited Liability Company was paid $88K by Medicaid between Jan 2018 and Apr 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoVIRGINIA DE GUZMAN MD LIMITED LIABILITY COMPANY
MAHWAH, NJ 07430
33aNPI1013103183assigned 09/21/2007
28Total paid$88K
24GClaims1,871
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#147 of 414
Median peer was paid$28K
This provider vs. median3.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018620$33K
2019450$23K
2020442$18K
2021302$11K
202257$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 55% 1,103 974 $48K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44% 741 686 $39K
90674 <1% 14 14 $240.03
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 13 $153.67

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDE GUZMAN, VIRGINIA (OWNER)