Clifton-Wallington Medical Group

Clifton-Wallington Medical Group was paid $428K by Medicaid between Jan 2018 and Sep 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoCLIFTON-WALLINGTON MEDICAL GROUP
CLIFTON, NJ 07013

33aNPI1548209315assigned 06/06/2006

33bProvider typeInternal Medicine Physician

28Total paid$428K

24GClaims16,484

24DCodes billed28

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#138 of 1,027

Median peer was paid$30K

This provider vs. median14×

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	3,818	$127K
2019	2,135	$50K
2020	2,651	$67K
2021	2,304	$52K
2022	2,068	$48K
2023	2,206	$54K
2024incomplete	1,302	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	63%	7,257	6,022	$270K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	3,963	3,008	$79K
93000		4.0%	1,763	1,687	$17K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.7%	239	239	$12K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.6%	321	177	$11K
99442		2.1%	710	621	$9K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.8%	303	129	$8K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.7%	27	27	$7K
93784		<1%	66	66	$4K
99490	Ccm add 20min	<1%	409	401	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	199	190	$2K
90688		<1%	67	67	$884.91

16 more codes

98967		<1%	68	$802.62
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	271	$692.65
G0444	Annual depression screening, 5 to 15 minutes	<1%	103	$671.73
90686		<1%	73	$669.04
90746		<1%	12	$611.07
99441		<1%	123	$562.38
J2010	Injection, lincomycin hcl, up to 300 mg	<1%	32	$295.72
99401		<1%	16	$286.74
96127		<1%	57	$113.54
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	32	$80.35
81003		<1%	135	$77.70
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	32	$32.00
G0008	Administration of influenza virus vaccine	<1%	14	$11.50
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	61	$7.40
82950		<1%	12	$3.00
1101F		0%	119	$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 officialSZEWCZYK-SZCZECH, KRYSTYNA (OWNER/DIRECTOR)