Physician
Montclair Physicians Group
Montclair Physicians Group was paid $4.00M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 76817, Ultrasound, pregnant uterus, real time with image documentation, transvaginal — 35% of everything it billed.
33Billing provider infoMONTCLAIR PHYSICIANS GROUP
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
33aNPI1275977084assigned 04/23/2013
33bProvider typeObstetrics & Gynecology Physician
28Total paid$4.00M
24GClaims50,670
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New Jersey
Rank by total paid#10 of 186
Median peer was paid$75K
This provider vs. median54×
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 | 6,825 | $458K | |
| 2019 | 6,586 | $450K | |
| 2020 | 6,619 | $464K | |
| 2021 | 7,484 | $531K | |
| 2022 | 9,049 | $660K | |
| 2023 | 7,964 | $584K | |
| 2024incomplete | 6,143 | $857K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 35% | 15,950 | 15,658 | $1.39M |
| 76801 | 24% | 14,720 | 14,555 | $952K | |
| 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 | 19% | 8,401 | 8,400 | $768K |
| 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 | 10% | 6,772 | 6,739 | $420K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.6% | 2,553 | 2,401 | $184K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 1,203 | 1,177 | $157K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 584 | 584 | $109K |
| 59200 | <1% | 363 | 363 | $21K | |
| 59000 | <1% | 55 | 55 | $2K | |
| 76998 | <1% | 69 | 69 | $2K |
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 officialCAMPANELLA, NICHOLAS (M.D.)
| Provider | Location | Paid |
|---|---|---|
| Montclair Surgical Services LLC | Montclair, NJ | $487K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.