Physician
South Mountain Medical Consultants P C
South Mountain Medical Consultants P C was paid $96K by Medicaid between Nov 2020 and Sep 2024, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 59% of everything it billed.
33Billing provider infoSOUTH MOUNTAIN MEDICAL CONSULTANTS P C
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
33aNPI1932398047assigned 10/15/2007
33bProvider typeInternal Medicine Physician
28Total paid$96K
24GClaims2,888
24DCodes billed3
24AFirst – last monthNov 2020 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#351 of 1,027
Median peer was paid$30K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2020 | 194 | $7K | |
| 2021 | 322 | $11K | |
| 2022 | 504 | $15K | |
| 2023 | 577 | $15K | |
| 2024incomplete | 1,291 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 59% | 1,839 | 325 | $57K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 40% | 1,022 | 157 | $38K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 27 | 26 | $1K |
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 officialROTHKOPF, MICHAEL (PRESIDENT)