Medical Group of Englewood, INC
Medical Group of Englewood, INC was paid $297K by Medicaid between Jan 2018 and May 2024, across 13 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 41% of everything it billed.
33Billing provider infoMEDICAL GROUP OF ENGLEWOOD, INC
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
33aNPI1447445762assigned 09/10/2007
33bProvider typeSpecialist
28Total paid$297K
24GClaims17,387
24DCodes billed13
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#121 of 378
Median peer was paid$63K
This provider vs. median4.7×
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 | 2,234 | $45K | |
| 2019 | 2,456 | $50K | |
| 2020 | 3,029 | $64K | |
| 2021 | 2,529 | $41K | |
| 2022 | 3,060 | $43K | |
| 2023 | 2,980 | $39K | |
| 2024incomplete | 1,099 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 41% | 9,536 | 6,450 | $123K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 2,399 | 2,139 | $81K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 3,821 | 1,076 | $64K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.7% | 498 | 473 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.9% | 244 | 231 | $9K |
| 99306 | Prolong nursin fac eval 15m | 1.5% | 105 | 96 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 543 | 508 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 39 | 28 | $890.32 |
| 90686 | <1% | 57 | 55 | $871.38 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 58 | 56 | $649.72 |
| 99318 | <1% | 38 | 38 | $554.04 | |
| 99307 | <1% | 12 | 12 | $94.88 |
1 more codes
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 37 | $63.52 |
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 officialDJEBIYAN, ELI (OWNER)