Clinic
Monmouth Family Health Center, INC
Monmouth Family Health Center, INC was paid $4.56M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 53% of everything it billed.
33Billing provider infoMONMOUTH FAMILY HEALTH CENTER, INC
LONG BRANCH, NJ 07740
LONG BRANCH, NJ 07740
33aNPI1073558391assigned 06/19/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.56M
24GClaims178,702
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Jersey
Rank by total paid#15 of 98
Median peer was paid$758K
This provider vs. median6.0×
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 | 30,767 | $809K | |
| 2019 | 26,883 | $703K | |
| 2020 | 21,810 | $625K | |
| 2021 | 21,462 | $622K | |
| 2022 | 26,607 | $490K | |
| 2023 | 27,517 | $663K | |
| 2024incomplete | 23,656 | $645K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 53% | 13,692 | 10,658 | $2.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 30,070 | 27,070 | $488K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.9% | 20,641 | 18,475 | $315K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.6% | 24,012 | 22,991 | $254K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 10,830 | 10,377 | $137K |
| 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 | 2.1% | 4,682 | 4,178 | $97K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 3,913 | 3,800 | $80K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 4,941 | 4,911 | $75K |
| D1206 | Topical application of fluoride varnish | 1.4% | 4,317 | 4,283 | $64K |
| 90677 | 1.4% | 598 | 551 | $63K | |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 4,126 | 4,091 | $55K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 4,670 | 4,509 | $51K |
86 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 1,260 | $46K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,065 | $42K |
| D1110 | Prophylaxis - adult | <1% | 2,174 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,609 | $36K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 998 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,975 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,890 | $30K |
| D0274 | Bitewings - four radiographic images | <1% | 3,492 | $27K |
| 76830 | Ultrasound, transvaginal | <1% | 378 | $23K |
| D0330 | Panoramic radiographic image | <1% | 1,415 | $18K |
| 90649 | <1% | 254 | $17K | |
| 90686 | <1% | 4,727 | $14K | |
| 90651 | <1% | 380 | $13K | |
| 88142 | <1% | 498 | $12K | |
| 90697 | <1% | 246 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 207 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 255 | $8K |
| 90688 | <1% | 514 | $6K | |
| 90734 | <1% | 278 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,401 | $5K |
| 90619 | <1% | 66 | $5K | |
| 90670 | <1% | 1,790 | $4K | |
| 81025 | <1% | 1,496 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 140 | $4K |
| 0002A | <1% | 92 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 532 | $3K |
| 11721 | <1% | 364 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 648 | $3K |
| 90656 | <1% | 624 | $3K | |
| 99173 | <1% | 1,630 | $3K | |
| 0072A | <1% | 58 | $2K | |
| 90474 | <1% | 287 | $2K | |
| D1351 | Sealant - per tooth | <1% | 269 | $2K |
| 0071A | <1% | 45 | $2K | |
| 0001A | <1% | 54 | $1K | |
| 0011A | <1% | 55 | $1K | |
| 90633 | <1% | 543 | $1K | |
| D0602 | <1% | 207 | $840.00 | |
| G0467 | Community health center visit, returning patient | <1% | 895 | $616.25 |
| 0012A | <1% | 23 | $614.40 | |
| 36416 | <1% | 74 | $498.15 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 266 | $451.00 |
| D0272 | Bitewings - two radiographic images | <1% | 89 | $445.00 |
| 83655 | <1% | 79 | $435.95 | |
| 90680 | <1% | 1,095 | $350.00 | |
| D0603 | <1% | 51 | $320.00 | |
| 11720 | <1% | 231 | $300.72 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 14 | $195.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 64 | $181.13 |
| 99383 | <1% | 14 | $171.39 | |
| D0180 | <1% | 12 | $168.00 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 55 | $150.96 |
| 90698 | <1% | 286 | $140.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | $130.00 |
| 90715 | <1% | 67 | $128.75 | |
| 90716 | <1% | 78 | $90.00 | |
| 90836 | <1% | 681 | $88.79 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 883 | $44.63 |
| 90700 | <1% | 26 | $35.48 | |
| 90707 | <1% | 36 | $25.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 17 | $16.00 |
| 81002 | <1% | 201 | $15.20 | |
| 91307 | <1% | 138 | $14.00 | |
| 88164 | <1% | 44 | $12.00 | |
| 91301 | <1% | 71 | $9.00 | |
| 91300 | <1% | 99 | $5.00 | |
| 3074F | 0% | 1,151 | $0.00 | |
| 99381 | 0% | 1,180 | $0.00 | |
| 3075F | 0% | 27 | $0.00 | |
| D1330 | 0% | 1,591 | $0.00 | |
| 0501F | 0% | 32 | $0.00 | |
| 86580 | 0% | 110 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 3079F | 0% | 125 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 57 | $0.00 |
| 90723 | 0% | 43 | $0.00 | |
| 90744 | 0% | 17 | $0.00 | |
| D0601 | 0% | 14 | $0.00 | |
| D1999 | 0% | 969 | $0.00 | |
| 3078F | 0% | 1,103 | $0.00 | |
| 90648 | 0% | 98 | $0.00 | |
| 3077F | 0% | 25 | $0.00 | |
| 0502F | 0% | 33 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 40 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 31 | $0.00 |
| 90380 | 0% | 34 | $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 officialDUNCAN, ANDREA (DIRECTOR, FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Monmouth Family Health Center INC | Long Branch, NJ | $146K |
| Monmouth Family Health Center, INC. | Long Branch, NJ | $88K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.