Metropolitan Ob/Gyn, P.A.
Metropolitan Ob/Gyn, P.A. was paid $691K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoMETROPOLITAN OB/GYN, P.A.
MAPLEWOOD, NJ 07040
MAPLEWOOD, NJ 07040
33aNPI1508020157assigned 07/14/2008
33bProvider typeSpecialist
28Total paid$691K
24GClaims16,048
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#72 of 378
Median peer was paid$63K
This provider vs. median11×
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 | 1,282 | $17K | |
| 2019 | 2,085 | $72K | |
| 2020 | 2,412 | $107K | |
| 2021 | 2,806 | $127K | |
| 2022 | 2,801 | $131K | |
| 2023 | 2,818 | $142K | |
| 2024incomplete | 1,844 | $95K |
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 | 60% | 7,702 | 6,294 | $412K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 18% | 1,996 | 1,921 | $122K |
| 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 | 14% | 1,181 | 953 | $94K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 882 | 798 | $27K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.3% | 369 | 352 | $23K |
| 99385 | <1% | 73 | 71 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 232 | 197 | $3K |
| 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% | 14 | 14 | $1K |
| 57454 | <1% | 17 | 15 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 18 | 17 | $730.20 |
| 54150 | <1% | 13 | 13 | $499.36 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 50 | 50 | $404.62 |
6 more codes
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 officialPARCHMENT, WINSOME (DOCTOR)