Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Belleville › NPI 1861441883
Physician

Clara Maass Medical Center House Physicians

Clara Maass Medical Center House Physicians was paid $169K by Medicaid between Jan 2018 and Feb 2019, across 18 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 33% of everything it billed.

33Billing provider infoCLARA MAASS MEDICAL CENTER HOUSE PHYSICIANS
BELLEVILLE, NJ 07109
33aNPI1861441883assigned 05/08/2006
28Total paid$169K
24GClaims3,786
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New Jersey

Rank by total paid#66 of 186
Median peer was paid$75K
This provider vs. median2.3×

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$10K$20K$30K2018201920202021202220232024
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
20183,730$168K
201956$960.92
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33% 1,931 1,225 $56K
99219 19% 682 678 $33K
99220 17% 477 473 $29K
43775 11% 28 28 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.8% 144 144 $6K
99217 3.7% 211 210 $6K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 3.1% 12 12 $5K
99239 Hospital discharge day management, more than 30 minutes 1.9% 64 64 $3K
43235 1.3% 26 26 $2K
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 1.1% 25 25 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 52 41 $1K
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 <1% 27 27 $1K
6 more codes
99460 <1% 13 $1K
99232 Hospital visit by a doctor, follow-up day <1% 29 $1K
99222 Initial hospital care, per day, moderate complexity <1% 13 $762.44
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 25 $706.21
90658 <1% 14 $227.74
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $162.44

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 officialESPOSITO, ANTHONY (DIRECTOR)
Same official

Other billing entities under ESPOSITO, ANTHONY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.