Ghaly, Maged

Ghaly, Maged was paid $4.54M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoGHALY, MAGED
JERSEY CITY, NJ 07304

33aNPI1154327880assigned 06/27/2005

33bProvider typePediatrics Physician

28Total paid$4.54M

24GClaims111,398

24DCodes billed29

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#30 of 549

Median peer was paid$154K

This provider vs. median30×

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	16,200	$766K
2019	16,033	$732K
2020	14,119	$550K
2021	13,847	$541K
2022	16,483	$602K
2023	18,289	$692K
2024incomplete	16,427	$656K

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	79%	79,947	59,869	$3.57M
90460	Immunization administration through 18 years of age via any route, first or only component	4.5%	9,446	9,199	$202K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.3%	3,936	3,883	$194K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.2%	3,752	3,695	$192K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.4%	2,174	2,138	$110K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.8%	1,636	1,601	$82K
90461		1.5%	3,861	3,802	$68K
90697		<1%	373	367	$42K
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	<1%	523	498	$29K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	287	279	$14K
90733		<1%	382	376	$10K
90658		<1%	1,117	1,102	$9K

17 more codes

90716		<1%	544	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	301	$4K
90472	Immunization administration, each additional vaccine (list separately)	<1%	190	$3K
90670		<1%	838	$3K
90707		<1%	514	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	42	$2K
90715		<1%	228	$1K
99383		<1%	12	$919.50
90649		<1%	12	$661.96
90700		<1%	445	$538.09
90633		<1%	288	$471.51
90713		<1%	112	$206.99
99381		<1%	13	$200.00
90647		<1%	201	$145.33
90657		<1%	72	$111.28
97802		<1%	21	$59.37
90723		<1%	131	$6.00

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.