Physician
Neighborhood Medical Center
Neighborhood Medical Center was paid $946K by Medicaid between Jan 2018 and Sep 2021, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoNEIGHBORHOOD MEDICAL CENTER
EAST ORANGE, NJ 07018
EAST ORANGE, NJ 07018
33aNPI1740537463assigned 08/13/2012
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$946K
24GClaims26,260
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in New Jersey
Rank by total paid#5 of 52
Median peer was paid$15K
This provider vs. median61×
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 | 7,555 | $262K | |
| 2019 | 8,068 | $263K | |
| 2020 | 6,255 | $222K | |
| 2021 | 4,382 | $200K |
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 | 40% | 8,118 | 7,898 | $378K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 27% | 6,179 | 3,517 | $253K |
| 99255 | 14% | 1,285 | 1,270 | $132K | |
| 99223 | Prolong inpt eval add15 m | 3.9% | 1,170 | 1,135 | $37K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 1,235 | 914 | $33K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.3% | 467 | 448 | $31K |
| 99245 | 1.9% | 156 | 156 | $18K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.6% | 1,866 | 1,682 | $15K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.5% | 1,576 | 1,299 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 275 | 267 | $8K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 313 | 311 | $7K |
| 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% | 223 | 202 | $7K |
10 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 officialSETH, AMIT (OWNER)