Physician
East Orange Medical Practice
East Orange Medical Practice was paid $663K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoEAST ORANGE MEDICAL PRACTICE
EAST ORANGE, NJ 07018
EAST ORANGE, NJ 07018
33aNPI1114116175assigned 10/16/2007
33bProvider typeInternal Medicine Physician
28Total paid$663K
24GClaims27,271
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#95 of 1,027
Median peer was paid$30K
This provider vs. median22×
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 | 2,172 | $82K | |
| 2019 | 2,778 | $92K | |
| 2020 | 2,675 | $102K | |
| 2021 | 2,417 | $80K | |
| 2022 | 4,713 | $98K | |
| 2023 | 6,198 | $106K | |
| 2024incomplete | 6,318 | $103K |
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 | 31% | 5,191 | 4,840 | $206K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 26% | 4,872 | 1,308 | $172K |
| 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 | 13% | 2,055 | 1,939 | $87K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 12% | 4,408 | 2,814 | $81K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.8% | 776 | 513 | $52K |
| 99223 | Prolong inpt eval add15 m | 3.7% | 628 | 581 | $25K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.6% | 225 | 216 | $11K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.5% | 210 | 201 | $10K |
| 99195 | <1% | 176 | 172 | $6K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 92 | 84 | $4K |
| 3008F | <1% | 1,298 | 1,230 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 99 | 90 | $2K |
18 more codes
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 102 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $1K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 198 | $841.47 |
| 36410 | <1% | 49 | $733.65 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 347 | $378.31 |
| 99407 | <1% | 13 | $217.00 | |
| 82948 | <1% | 110 | $114.50 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $111.65 |
| 3074F | <1% | 1,619 | $71.10 | |
| 3078F | <1% | 1,415 | $55.09 | |
| 99497 | <1% | 13 | $45.70 | |
| 82962 | <1% | 52 | $41.53 | |
| 3077F | <1% | 1,111 | $34.08 | |
| 3080F | <1% | 800 | $34.08 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 194 | $30.30 |
| 3079F | <1% | 816 | $28.04 | |
| 3075F | <1% | 298 | $13.02 | |
| 3044F | <1% | 61 | $2.00 |
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 officialCLARKE, ROBERT (DIRECTOR)