PCN Medical Group, LLC

PCN Medical Group, LLC was paid $38K by Medicaid between Jan 2018 and Feb 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoPCN MEDICAL GROUP, LLC
MONTVALE, NJ 07645

33aNPI1063834711assigned 01/15/2014

33bProvider typeNephrology Physician

28Total paid$38K

24GClaims2,223

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Nephrology Physician providers in New Jersey

Rank by total paid#59 of 117

Median peer was paid$38K

This provider vs. median1.0×

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	597	$13K
2019	573	$8K
2020	376	$4K
2021	345	$3K
2022	108	$3K
2023	192	$6K
2024incomplete	32	$825.61

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	51%	700	640	$19K
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	17%	161	149	$7K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	17%	141	123	$6K
99442		5.5%	93	81	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.8%	81	66	$2K
36415	Collection of venous blood by venipuncture	4.1%	1,035	906	$2K
90656		<1%	12	12	$319.44

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 officialWOJARNSKA-ALVAREZ, GABRIELA (MEDICAL DIRECTOR)