Physician
Skylands Medical Group, P.A.
Skylands Medical Group, P.A. was paid $87K by Medicaid between Jan 2018 and Nov 2021, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoSKYLANDS MEDICAL GROUP, P.A.
NEWTON, NJ 07860
NEWTON, NJ 07860
33aNPI1396841508assigned 09/15/2006
33bProvider typeFamily Medicine Physician
28Total paid$87K
24GClaims20,116
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#148 of 414
Median peer was paid$28K
This provider vs. median3.1×
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 | 6,854 | $17K | |
| 2019 | 5,560 | $20K | |
| 2020 | 4,037 | $22K | |
| 2021 | 3,665 | $28K |
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 | 57% | 11,869 | 10,693 | $50K |
| 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 | 36% | 3,754 | 3,521 | $31K |
| 99243 | 5.5% | 64 | 64 | $5K | |
| 96127 | <1% | 1,798 | 1,794 | $404.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | 25 | $287.50 |
| 99349 | <1% | 24 | 24 | $178.50 | |
| 90686 | <1% | 12 | 12 | $111.96 | |
| 99442 | <1% | 45 | 42 | $111.68 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 359 | 352 | $63.21 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 29 | 29 | $60.00 |
| 81002 | <1% | 52 | 52 | $12.28 | |
| 99173 | <1% | 52 | 52 | $10.00 |
7 more codes
| 99406 | <1% | 45 | $8.12 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 713 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 82 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 33 | $0.00 |
| 94760 | 0% | 27 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 708 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 425 | $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 officialSTANKEVICH, MARGARET (CLINICAL COORDINATOR)