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

RWJBH Primary Care Services

RWJBH Primary Care Services was paid $8.64M by Medicaid between Jun 2021 and Dec 2024, across 94 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoRWJBH PRIMARY CARE SERVICES
WEST ORANGE, NJ 07052
33aNPI1265037501assigned 12/03/2020
28Total paid$8.64M
24GClaims172,891
24DCodes billed94
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#6 of 414
Median peer was paid$28K
This provider vs. median306×

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$200K$400K$600K2018201920202021202220232024
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
20218,439$278K
202245,052$1.51M
202350,105$2.21M
2024incomplete69,295$4.64M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 55,045 49,757 $3.84M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 64,236 56,910 $3.41M
99308 Subsequent nursing facility care, per day, straightforward 2.9% 10,422 6,888 $251K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.7% 4,370 4,031 $235K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.7% 2,689 2,478 $143K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.1% 2,245 745 $94K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 738 693 $81K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,045 992 $55K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,892 1,331 $54K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,089 988 $53K
99222 Initial hospital care, per day, moderate complexity <1% 349 324 $51K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,425 2,252 $38K
82 more codes
99238 Hospital discharge day management, 30 minutes or less <1% 582 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,604 $32K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 546 $30K
99215 Doctor's office visit, returning patient (complex) <1% 254 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 372 $19K
99442 <1% 979 $18K
90686 <1% 1,507 $14K
93000 <1% 947 $14K
99203 Doctor's office visit, new patient (routine) <1% 255 $13K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 3,746 $13K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 147 $13K
96156 <1% 91 $11K
99239 Hospital discharge day management, more than 30 minutes <1% 154 $11K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,043 $10K
99443 <1% 279 $10K
99460 <1% 82 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 500 $6K
90750 <1% 56 $6K
99385 <1% 116 $5K
90688 <1% 604 $5K
90472 Immunization administration, each additional vaccine (list separately) <1% 184 $4K
99221 <1% 25 $4K
99381 <1% 58 $4K
96127 <1% 853 $4K
99306 Prolong nursin fac eval 15m <1% 80 $4K
90682 <1% 93 $3K
90656 <1% 382 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 58 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 284 $2K
81025 <1% 457 $2K
36415 Collection of venous blood by venipuncture <1% 754 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 156 $1K
99406 <1% 154 $1K
99459 <1% 153 $1K
90658 <1% 38 $919.32
90677 <1% 68 $914.62
90662 <1% 140 $792.85
99441 <1% 56 $680.24
96161 <1% 545 $648.48
90651 <1% 16 $595.53
90461 <1% 97 $585.00
92552 <1% 13 $583.44
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 38 $547.58
3008F <1% 1,211 $520.00
90619 <1% 15 $510.97
99307 <1% 25 $462.35
90674 <1% 18 $459.81
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 13 $456.53
80305 <1% 53 $446.11
99173 <1% 220 $432.42
99462 <1% 25 $409.85
99310 Prolong nursin fac eval 15m <1% 13 $234.07
90707 <1% 14 $226.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 47 $136.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 102 $113.19
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 27 $110.97
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 1,112 $96.00
82962 <1% 135 $86.42
S9470 Nutritional counseling, dietitian visit <1% 12 $56.00
90687 <1% 57 $37.66
99422 <1% 50 $15.28
92558 <1% 12 $8.14
90670 <1% 163 $1.00
90633 <1% 33 $1.00
90661 <1% 47 $0.04
1159F 0% 734 $0.00
1160F 0% 880 $0.00
0502F 0% 104 $0.00
90681 0% 12 $0.00
3078F 0% 382 $0.00
90648 0% 31 $0.00
3077F 0% 12 $0.00
G0008 Administration of influenza virus vaccine 0% 258 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 151 $0.00
3074F 0% 439 $0.00
3075F 0% 33 $0.00
3044F 0% 79 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 0% 13 $0.00
3079F 0% 104 $0.00
90680 0% 19 $0.00
2010F 0% 105 $0.00
90698 0% 20 $0.00

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 officialMITCHELL, MICHELLE (DIRECTOR OF CREDENTIALING)
Same official

Other billing entities under MITCHELL, MICHELLE

Full network →
ProviderLocationPaid
Barnabas Health Medical Group, PCWest Orange, NJ$39.46M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.