Physician
Montclair Surgical Associates, PA
Montclair Surgical Associates, PA was paid $463K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 43775, — 28% of everything it billed.
33Billing provider infoMONTCLAIR SURGICAL ASSOCIATES, PA
GLEN RIDGE, NJ 07028
GLEN RIDGE, NJ 07028
33aNPI1770633109assigned 01/10/2007
33bProvider typeSurgery Physician
28Total paid$463K
24GClaims4,952
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Surgery Physician providers in New Jersey
Rank by total paid#10 of 82
Median peer was paid$8K
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 | 316 | $34K | |
| 2019 | 368 | $41K | |
| 2020 | 669 | $119K | |
| 2021 | 947 | $99K | |
| 2022 | 886 | $74K | |
| 2023 | 1,067 | $68K | |
| 2024incomplete | 699 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43775 | 28% | 417 | 407 | $127K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,810 | 2,697 | $102K |
| 43659 | 18% | 195 | 192 | $83K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 513 | 506 | $80K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.2% | 168 | 168 | $24K |
| 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 | 2.4% | 153 | 150 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 172 | 170 | $10K |
| 99354 | 1.5% | 114 | 113 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 179 | 172 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 60 | 60 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 68 | 66 | $5K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 89 | 82 | $3K |
1 more codes
| 64488 | 0% | 14 | $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 officialBARBALINARDO, ROBERT (MANAGING DIRECTOR)