Physician
SBMC Provider Services
SBMC Provider Services was paid $1.62M by Medicaid between Oct 2018 and Oct 2023, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoSBMC PROVIDER SERVICES
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
33aNPI1942748983assigned 02/10/2017
33bProvider typeEmergency Medicine Physician
28Total paid$1.62M
24GClaims54,404
24DCodes billed48
24AFirst – last monthOct 2018 – Oct 2023
Compared with peers
Next to other Emergency Medicine Physician providers in New Jersey
Rank by total paid#41 of 235
Median peer was paid$10K
This provider vs. median161×
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 | 1,624 | $43K | |
| 2019 | 8,046 | $265K | |
| 2020 | 7,643 | $295K | |
| 2021 | 9,868 | $327K | |
| 2022 | 15,883 | $425K | |
| 2023 | 11,340 | $267K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 6,364 | 4,947 | $272K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 7,146 | 6,116 | $244K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 10% | 2,066 | 931 | $164K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.6% | 2,653 | 2,523 | $155K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.7% | 9,785 | 6,322 | $141K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.7% | 7,210 | 5,549 | $140K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 2,275 | 2,197 | $139K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 922 | 906 | $64K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 3.5% | 209 | 39 | $56K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 825 | 803 | $34K |
| 99460 | 2.1% | 405 | 394 | $33K | |
| 90461 | 2.0% | 3,796 | 1,979 | $32K |
36 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.5% | 1,535 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 250 | $20K |
| 93970 | <1% | 1,086 | $15K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 489 | $11K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 367 | $10K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 110 | $9K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 99 | $9K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 25 | $7K |
| 99464 | <1% | 113 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 364 | $5K |
| 90670 | <1% | 1,188 | $5K | |
| 90677 | <1% | 46 | $4K | |
| 90686 | <1% | 1,131 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 56 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 101 | $2K |
| 90716 | <1% | 150 | $1K | |
| 93971 | <1% | 149 | $1K | |
| 90681 | <1% | 468 | $1K | |
| 59430 | <1% | 18 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 51 | $1K |
| 90707 | <1% | 151 | $1K | |
| 90723 | <1% | 945 | $1K | |
| 76818 | <1% | 27 | $898.15 | |
| 99497 | <1% | 68 | $824.92 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 17 | $740.44 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $557.94 |
| 99218 | <1% | 12 | $545.11 | |
| 90734 | <1% | 19 | $445.47 | |
| 59025 | Fetal non-stress test | <1% | 30 | $433.96 |
| 90633 | <1% | 281 | $396.85 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $390.67 |
| 90648 | <1% | 1,201 | $385.03 | |
| 96127 | <1% | 105 | $363.06 | |
| 90700 | <1% | 46 | $115.84 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 12 | $0.00 |
| 90680 | 0% | 12 | $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 officialMINTZ, JACQUELINE (DIR. FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Barnabas Health Medical Group PC | Elizabeth, NJ | $39.91M |
| MMC Provider Services | Long Branch, NJ | $666K |
| CMMC Provider Services | West Orange, NJ | $534K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.