Physician
Monmouth Medical Center Faculty Practice Plan, INC.
Monmouth Medical Center Faculty Practice Plan, INC. was paid $470K by Medicaid between Jan 2018 and Dec 2019, across 23 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 43% of everything it billed.
33Billing provider infoMONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC.
LONG BRANCH, NJ 07740
LONG BRANCH, NJ 07740
33aNPI1023064441assigned 05/26/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$470K
24GClaims13,998
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New Jersey
Rank by total paid#47 of 186
Median peer was paid$75K
This provider vs. median6.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,350 | $307K | |
| 2019 | 6,648 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 43% | 357 | 355 | $203K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.6% | 1,525 | 758 | $45K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 8.0% | 1,914 | 1,914 | $37K |
| 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 | 7.4% | 710 | 677 | $35K |
| 59514 | 6.3% | 42 | 42 | $30K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 1,202 | 1,169 | $26K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.2% | 6,016 | 5,250 | $24K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.9% | 233 | 231 | $14K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.9% | 357 | 351 | $14K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 1.8% | 524 | 524 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 230 | 230 | $7K |
| 54150 | 1.4% | 57 | 57 | $6K |
11 more codes
| 76819 | Fetal biophysical profile; without non-stress testing | 1.0% | 162 | $5K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 101 | $3K |
| 76642 | <1% | 157 | $2K | |
| 99460 | <1% | 45 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 33 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 111 | $2K |
| 76820 | <1% | 114 | $2K | |
| 99217 | <1% | 28 | $1K | |
| 90686 | <1% | 31 | $412.65 | |
| 99462 | <1% | 15 | $404.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $326.52 |
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 officialKENNEY, TANYA (MMCFPP MANAGER)