Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONTCLAIR HOSPITAL LLC

NPI: 1487802930 · MONTCLAIR, NJ 07042 · Primary Care Clinic/Center · NPI assigned 09/08/2008

$865K
Total Medicaid Paid
24,089
Total Claims
18,162
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, JOE (VICE PRESIDENT)
Parent OrganizationMONTCLAIR HOSPITAL LLC
NPI Enumeration Date09/08/2008

Related Entities

Other providers sharing the same authorized official: JOHNSON, JOE

ProviderCityStateTotal Paid
MONTCLAIR HOSPITAL LLC MONTCLAIR NJ $48.59M
SKY PARK GARDENS ASSISTED LIVING SACRAMENTO CA $9.68M
MONTCLAIR HOSPITAL LLC MONTCLAIR NJ $4.12M
MONTCLAIR HOSPITAL LLC VERONA NJ $1.08M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,788 $101K
2019 1,724 $78K
2020 1,836 $85K
2021 2,919 $163K
2022 3,716 $201K
2023 7,702 $196K
2024 3,404 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,836 6,318 $314K
99232 Subsequent hospital care, per day, moderate complexity 6,127 2,571 $258K
99222 Initial hospital care, per day, moderate complexity 1,257 1,183 $96K
99233 Prolong inpt eval add15 m 968 443 $60K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 595 553 $37K
99223 Prolong inpt eval add15 m 339 291 $37K
99239 Hospital discharge day management, more than 30 minutes 518 464 $34K
99238 Hospital discharge day management, 30 minutes or less 592 528 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 216 215 $3K
90686 103 102 $2K
97803 139 117 $997.00
90682 16 16 $675.54
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $478.79
99442 13 13 $270.57
97802 50 47 $229.60
96127 26 24 $96.84
3074F 2,281 1,900 $0.00
3044F 727 614 $0.00
3008F 785 660 $0.00
3075F 87 79 $0.00
3079F 283 237 $0.00
3078F 2,106 1,762 $0.00
1159F 13 13 $0.00