Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › East Orange › NPI 1831320803
Managed care

Mediterranean M.D. P.A.

Mediterranean M.D. P.A. was paid $466K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoMEDITERRANEAN M.D. P.A.
EAST ORANGE, NJ 07018
33aNPI1831320803assigned 08/07/2009
33bProvider typePoint of Service
28Total paid$466K
24GClaims20,819
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20182,648$61K
20192,651$56K
20202,127$53K
20211,935$53K
20222,807$68K
20233,757$88K
2024incomplete4,894$87K
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 49% 5,214 4,438 $230K
99401 20% 4,431 3,722 $93K
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 8.9% 791 746 $41K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.7% 238 237 $17K
92552 2.6% 884 883 $12K
3008F 2.5% 3,464 3,080 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.4% 426 410 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.2% 1,788 1,716 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.1% 142 141 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.8% 117 117 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.6% 567 531 $8K
90460 Immunization administration through 18 years of age via any route, first or only component 1.1% 385 363 $5K
29 more codes
87070 <1% 323 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 27 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 110 $1K
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% 149 $850.53
90461 <1% 108 $829.60
99188 <1% 40 $432.00
99403 <1% 94 $278.13
83655 <1% 19 $273.00
36416 <1% 35 $270.00
90473 <1% 16 $208.78
99402 <1% 188 $184.96
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 177 $176.25
36415 Collection of venous blood by venipuncture <1% 96 $156.28
99173 <1% 390 $133.72
96127 <1% 43 $80.55
90688 <1% 74 $73.92
90686 <1% 121 $62.13
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 24 $34.47
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes <1% 25 $30.66
99441 <1% 12 $24.38
90672 <1% 86 $23.75
96160 <1% 59 $16.50
G0444 Annual depression screening, 5 to 15 minutes <1% 12 $8.04
99080 0% 24 $0.00
90633 0% 14 $0.00
90715 0% 13 $0.00
90734 0% 19 $0.00
90651 0% 17 $0.00
99000 0% 57 $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 officialBOTROUS, SUZANNE (PEDIATRICIAN)