Essex Womens Health Center, PA

Essex Womens Health Center, PA was paid $167K by Medicaid between Jan 2018 and Sep 2023, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoESSEX WOMENS HEALTH CENTER, PA
MONTCLAIR, NJ 07042

33aNPI1447380134assigned 03/06/2007

33bProvider typeObstetrics & Gynecology Physician

28Total paid$167K

24GClaims4,083

24DCodes billed12

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New Jersey

Rank by total paid#67 of 186

Median peer was paid$75K

This provider vs. median2.2×

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	681	$28K
2019	350	$22K
2020	847	$50K
2021	768	$30K
2022	966	$29K
2023	471	$8K

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	36%	1,777	1,134	$61K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	21%	878	383	$36K
76830	Ultrasound, transvaginal	17%	415	330	$29K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	13%	363	285	$22K
76819	Fetal biophysical profile; without non-stress testing	4.4%	121	63	$7K
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	2.4%	61	54	$4K
76820		2.0%	101	51	$3K
93976		1.4%	34	34	$2K
99441		<1%	89	47	$1K
58661		<1%	27	27	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	13	$467.32
81000		<1%	204	117	$277.34

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 officialDEGRANDE, GARY (PRESIDENT)