Clinic
Montclair Hospital LLC
Montclair Hospital LLC was paid $1.08M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.
33Billing provider infoMONTCLAIR HOSPITAL LLC
VERONA, NJ 07044
VERONA, NJ 07044
33aNPI1295983484assigned 09/03/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$1.08M
24GClaims39,709
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#15 of 130
Median peer was paid$86K
This provider vs. median13×
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 | 3,820 | $140K | |
| 2019 | 2,258 | $98K | |
| 2020 | 3,072 | $140K | |
| 2021 | 3,592 | $201K | |
| 2022 | 3,535 | $168K | |
| 2023 | 14,347 | $193K | |
| 2024incomplete | 9,085 | $145K |
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 | 94% | 20,573 | 18,274 | $1.02M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 709 | 657 | $19K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 105 | 98 | $9K |
| 90686 | <1% | 602 | 557 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 64 | 52 | $4K |
| 96127 | <1% | 1,492 | 1,120 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 237 | 233 | $3K |
| 87428 | <1% | 128 | 97 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 44 | 39 | $3K |
| 99307 | <1% | 338 | 276 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 65 | 44 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 68 | 25 | $2K |
16 more codes
| 81002 | <1% | 554 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 60 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 21 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $587.64 |
| 90715 | <1% | 16 | $320.27 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 173 | $317.73 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 32 | $292.95 |
| 3008F | <1% | 1,761 | $160.00 | |
| 81003 | <1% | 42 | $69.00 | |
| 3074F | <1% | 4,403 | $30.00 | |
| 3078F | <1% | 4,013 | $30.00 | |
| 3079F | 0% | 1,737 | $0.00 | |
| 3080F | 0% | 199 | $0.00 | |
| 3044F | 0% | 812 | $0.00 | |
| 3075F | 0% | 911 | $0.00 | |
| 3077F | 0% | 537 | $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 officialJOHNSON, JOE (VICE PRESIDENT)
Parent organizationMONTCLAIR HOSPITAL LLC
| Provider | Location | Paid |
|---|---|---|
| Montclair Hospital LLC | Montclair, NJ | $48.59M |
| Sky Park Gardens Assisted Living | Sacramento, CA | $9.68M |
| Montclair Hospital LLC | Montclair, NJ | $4.12M |
| Montclair Hospital LLC | Montclair, NJ | $865K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.