Avella, Douglas

Avella, Douglas was paid $191K by Medicaid between Jan 2018 and Feb 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoAVELLA, DOUGLAS
RIDGEWOOD, NJ 07450

33aNPI1437200672assigned 01/15/2007

33bProvider typePediatric Orthopaedic Surgery Physician

28Total paid$191K

24GClaims1,693

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Pediatric Orthopaedic Surgery Physician providers in New Jersey

Rank by total paid#4 of 5

Median peer was paid$321K

This provider vs. median0.6×

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	453	$47K
2019	661	$76K
2020	547	$65K
2021	32	$3K

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	50%	985	944	$95K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	48%	614	614	$92K
72100		1.6%	53	53	$3K
72070		<1%	26	26	$1K
99024		0%	15	13	$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.