Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Union City › NPI 1043722986
Clinic

Sanitas Medical Center of New Jersey PC

Sanitas Medical Center of New Jersey PC was paid $781K by Medicaid between Nov 2018 and Apr 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoSANITAS MEDICAL CENTER OF NEW JERSEY PC
UNION CITY, NJ 07087
33aNPI1043722986assigned 11/01/2017
28Total paid$781K
24GClaims23,607
24DCodes billed37
24AFirst – last monthNov 2018 – Apr 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in New Jersey

Rank by total paid#23 of 60
Median peer was paid$255K
This provider vs. median3.1×

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$20K$40K2018201920202021202220232024
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
201836$4K
20191,373$114K
20208,948$173K
20216,889$275K
20221,969$119K
20233,322$75K
2024incomplete1,070$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 6,564 6,133 $612K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15% 1,196 1,186 $121K
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 4.4% 342 334 $35K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 55 55 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 679 655 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 61 59 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 705 675 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 696 649 $935.92
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 116 115 $20.67
3078F <1% 1,539 1,435 $14.00
3074F <1% 1,471 1,370 $11.00
1160F <1% 1,474 1,409 $2.00
25 more codes
1159F <1% 1,477 $2.00
3075F <1% 197 $1.00
1125F 0% 219 $0.00
1126F 0% 22 $0.00
3079F 0% 176 $0.00
2010F 0% 1,668 $0.00
3008F 0% 1,442 $0.00
1000F 0% 179 $0.00
1036F 0% 198 $0.00
99000 0% 955 $0.00
3080F 0% 28 $0.00
36415 Collection of venous blood by venipuncture 0% 72 $0.00
2000F 0% 949 $0.00
4010F 0% 50 $0.00
3044F 0% 42 $0.00
A9150 Non-prescription drugs 0% 13 $0.00
96127 0% 19 $0.00
3028F 0% 526 $0.00
3077F 0% 44 $0.00
81003 0% 97 $0.00
3725F 0% 46 $0.00
3016F 0% 12 $0.00
4013F 0% 13 $0.00
0521F 0% 219 $0.00
99080 0% 46 $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 officialESTRADA, JUAN (DIRECTOR)
Parent organizationSANITAS MEDICAL CENTER OF NEW JERSEY PC
Same official

Other billing entities under ESTRADA, JUAN

Full network →
ProviderLocationPaid
Sanitas Medical Center of New Jersey PCUnion City, NJ$3.32M
Sanitas Medical Center of New Jersey PCElizabeth, NJ$177K

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