Physician
Ayala, Michael
Ayala, Michael was paid $499K by Medicaid between Apr 2023 and Nov 2023, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoAYALA, MICHAEL
CLIFTON, NJ 07013
CLIFTON, NJ 07013
33aNPI1275056152assigned 07/21/2017
33bProvider typeObstetrics & Gynecology Physician
28Total paid$499K
24GClaims5,838
24DCodes billed16
24AFirst – last monthApr 2023 – Nov 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New Jersey
Rank by total paid#42 of 186
Median peer was paid$75K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2023 | 5,838 | $499K |
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 | 37% | 2,309 | 1,592 | $187K |
| 76830 | Ultrasound, transvaginal | 26% | 1,117 | 1,074 | $132K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 23% | 1,133 | 1,088 | $117K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.1% | 146 | 114 | $15K |
| 93976 | 2.4% | 598 | 575 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 97 | 96 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.9% | 83 | 83 | $10K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.4% | 86 | 60 | $7K |
| 76820 | <1% | 86 | 60 | $4K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 19 | 18 | $2K |
| 99385 | <1% | 13 | 13 | $2K | |
| 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% | 20 | 20 | $1K |
4 more codes
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.