Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Douglas a Taylor MD PC

Douglas a Taylor MD PC was paid $574K by Medicaid between Sep 2018 and Jan 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 61% of everything it billed.

33Billing provider infoDOUGLAS A TAYLOR MD PC
EAST ORANGE, NJ 07018
33aNPI1508165341assigned 03/18/2011
28Total paid$574K
24GClaims11,096
24DCodes billed10
24AFirst – last monthSep 2018 – Jan 2024
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#104 of 1,027
Median peer was paid$30K
This provider vs. median19×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018462$18K
20191,513$73K
20202,070$119K
20212,009$120K
20222,232$97K
20232,651$140K
2024incomplete159$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 61% 4,979 1,741 $352K
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% 1,945 1,812 $81K
99222 Initial hospital care, per day, moderate complexity 14% 1,435 1,366 $80K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.5% 670 468 $43K
99401 2.4% 658 603 $14K
99223 Prolong inpt eval add15 m <1% 40 40 $2K
36415 Collection of venous blood by venipuncture <1% 1,319 1,288 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 16 16 $473.75
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 14 13 $94.26
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 20 19 $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.

From NPPES

Who's on the registration

Authorized officialTAYLOR, DOUGLAS (DOCTOR)