Physician
Providence Medical Center
Providence Medical Center was paid $628K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoPROVIDENCE MEDICAL CENTER
NORTH PLAINFIELD, NJ 07060
NORTH PLAINFIELD, NJ 07060
33aNPI1962567354assigned 12/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$628K
24GClaims21,810
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#41 of 414
Median peer was paid$28K
This provider vs. median22×
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 | 1,452 | $57K | |
| 2019 | 2,080 | $80K | |
| 2020 | 2,370 | $84K | |
| 2021 | 3,124 | $98K | |
| 2022 | 4,487 | $107K | |
| 2023 | 4,623 | $116K | |
| 2024incomplete | 3,674 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 7,423 | 6,600 | $312K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 7,538 | 6,609 | $273K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 361 | 343 | $19K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,049 | 1,963 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 93 | 89 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 81 | 78 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 209 | 204 | $2K |
| 99457 | <1% | 783 | 726 | $2K | |
| 90756 | <1% | 169 | 156 | $2K | |
| 99385 | <1% | 30 | 25 | $1K | |
| 90686 | <1% | 75 | 75 | $1K | |
| 99354 | <1% | 16 | 15 | $841.04 |
25 more codes
| 99454 | <1% | 174 | $793.03 | |
| 96127 | <1% | 315 | $562.24 | |
| 99422 | <1% | 43 | $458.89 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 30 | $211.71 |
| 93000 | <1% | 16 | $203.36 | |
| 90658 | <1% | 12 | $203.31 | |
| 99490 | Ccm add 20min | <1% | 126 | $44.24 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 600 | $35.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 308 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 128 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 67 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 63 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 17 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 14 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 27 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 290 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 83 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 416 | $0.00 |
| 3017F | 0% | 36 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 84 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 18 | $0.00 |
| 1036F | 0% | 12 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 75 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| 99000 | 0% | 15 | $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 officialOJI, OMOBOLA (MEDICAL DIRECTOR)