Physician
Forge Medical Group, LLC
Forge Medical Group, LLC was paid $382K by Medicaid between Mar 2023 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoFORGE MEDICAL GROUP, LLC
GREENSBURG, PA 15601
GREENSBURG, PA 15601
33aNPI1578289252assigned 10/14/2022
33bProvider typePsychiatry Physician
28Total paid$382K
24GClaims4,078
24DCodes billed6
24AFirst – last monthMar 2023 – Nov 2024
Compared with peers
Next to other Psychiatry Physician providers in Pennsylvania
Rank by total paid#45 of 244
Median peer was paid$30K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2023 | 1,914 | $177K | |
| 2024incomplete | 2,164 | $205K |
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 | 32% | 995 | 951 | $121K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 29% | 1,621 | 761 | $113K |
| 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% | 953 | 895 | $102K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.8% | 371 | 357 | $38K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 44 | 43 | $6K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.0% | 94 | 91 | $4K |
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 officialLENZO, DANIEL (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| North Jersey Counseling Services, LLC | Paramus, NJ | $2.75M |
| Forge Medical Group, LLC | West Orange, NJ | $775K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.