Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Verona › NPI 1811009657
Physician

Mravcak, Sally

Mravcak, Sally was paid $12K by Medicaid between Jun 2022 and Sep 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoMRAVCAK, SALLY
VERONA, NJ 07044
33aNPI1811009657assigned 08/31/2006
28Total paid$12K
24GClaims1,451
24DCodes billed6
24AFirst – last monthJun 2022 – Sep 2024
Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#243 of 414
Median peer was paid$28K
This provider vs. median0.4×

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$1.0K$2.0K2018201920202021202220232024
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
2022232$2K
2023682$5K
2024incomplete537$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60% 209 191 $7K
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 39% 108 100 $5K
96127 1.0% 52 43 $124.49
3078F 0% 440 390 $0.00
3074F 0% 579 510 $0.00
3079F 0% 63 55 $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.