Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Toms River › NPI 1043939754
Clinic

Suburban Health Clinic of Toms River

Suburban Health Clinic of Toms River was paid $2.05M by Medicaid between Jun 2023 and Dec 2024, across 6 billing codes. Its largest line is G2067, Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) — 52% of everything it billed.

33Billing provider infoSUBURBAN HEALTH CLINIC OF TOMS RIVER
TOMS RIVER, NJ 08755
33aNPI1043939754assigned 08/25/2022
33bProvider typeClinic/Center
28Total paid$2.05M
24GClaims15,788
24DCodes billed6
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in New Jersey

Rank by total paid#22 of 97
Median peer was paid$318K
This provider vs. median6.5×

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

$0$100K$200K2018201920202021202220232024
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
20232,299$325K
2024incomplete13,489$1.73M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 52% 7,232 2,011 $1.07M
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 39% 6,664 663 $810K
G2076 Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 6.0% 270 269 $124K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.5% 1,175 873 $32K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure <1% 432 325 $14K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 15 15 $3K

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 officialSKOKOWSKI, BRAD (EXECUTIVE DIRECTOR)