Clinic
Atlanticare Health Services INC.
Atlanticare Health Services INC. was paid $160K by Medicaid between Sep 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoATLANTICARE HEALTH SERVICES INC.
GALLOWAY, NJ 08205
GALLOWAY, NJ 08205
33aNPI1043700495assigned 05/11/2018
33bProvider typeClinic/Center
28Total paid$160K
24GClaims10,092
24DCodes billed11
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in New Jersey
Rank by total paid#57 of 97
Median peer was paid$318K
This provider vs. median0.5×
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 | 57 | $2K | |
| 2019 | 359 | $11K | |
| 2020 | 1,046 | $19K | |
| 2021 | 1,489 | $21K | |
| 2022 | 2,385 | $35K | |
| 2023 | 2,711 | $42K | |
| 2024incomplete | 2,045 | $31K |
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 | 78% | 6,020 | 5,663 | $125K |
| 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 | 10% | 925 | 878 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.2% | 642 | 617 | $12K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.3% | 1,543 | 1,167 | $4K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.7% | 155 | 137 | $3K |
| 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% | 28 | 28 | $810.90 |
| 99442 | <1% | 59 | 55 | $278.36 | |
| 99441 | <1% | 67 | 55 | $233.73 | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 376 | 322 | $44.72 |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 233 | 214 | $0.00 |
| 99443 | 0% | 44 | 41 | $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 officialFESTA, SANDY (EXEC DIR FQHC)
Parent organizationATLANTICARE HEALTH SERVICES INC.
| Provider | Location | Paid |
|---|---|---|
| Atlanticare Health Services, INC. | Atlantic City, NJ | $7.18M |
| Atlanticare Health Services, INC. | Atlantic City, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.