Clinic
MGM Medical Center
MGM Medical Center was paid $114K by Medicaid between Sep 2022 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoMGM MEDICAL CENTER
EAST ORANGE, NJ 07017
EAST ORANGE, NJ 07017
33aNPI1386275352assigned 01/29/2020
33bProvider typePrimary Care Clinic/Center
28Total paid$114K
24GClaims3,501
24DCodes billed7
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#57 of 130
Median peer was paid$86K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2022 | 234 | $2K | |
| 2023 | 1,294 | $48K | |
| 2024incomplete | 1,973 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 69% | 1,876 | 1,660 | $79K |
| 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 | 15% | 356 | 332 | $17K |
| 99403 | 10% | 350 | 331 | $12K | |
| 99195 | 3.8% | 189 | 177 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 51 | 44 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 548 | 522 | $703.65 |
| 96127 | <1% | 131 | 126 | $255.96 |
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 officialROBINSON, MALEKA (NURSE PRACTITIONER)