Clinic
Center for Adult Medicine and Preventive Care, PC
Center for Adult Medicine and Preventive Care, PC was paid $2.86M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoCENTER FOR ADULT MEDICINE AND PREVENTIVE CARE, PC
PASSAIC, NJ 07055
PASSAIC, NJ 07055
33aNPI1073779658assigned 08/02/2008
33bProvider typeClinic/Center
28Total paid$2.86M
24GClaims284,406
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in New Jersey
Rank by total paid#16 of 97
Median peer was paid$318K
This provider vs. median9.0×
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 | 29,822 | $295K | |
| 2019 | 38,708 | $438K | |
| 2020 | 36,451 | $520K | |
| 2021 | 50,294 | $490K | |
| 2022 | 60,844 | $567K | |
| 2023 | 39,871 | $324K | |
| 2024incomplete | 28,416 | $230K |
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 | 40% | 17,816 | 16,284 | $1.14M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 14,435 | 13,183 | $751K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 8.6% | 2,639 | 2,596 | $247K |
| 99497 | 4.4% | 3,259 | 3,108 | $126K | |
| 99401 | 3.9% | 4,299 | 2,841 | $111K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.8% | 1,225 | 1,198 | $108K |
| 90746 | 2.0% | 1,080 | 1,072 | $57K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 4,874 | 4,697 | $55K |
| 93000 | 1.4% | 4,069 | 3,879 | $40K | |
| 90686 | 1.1% | 2,134 | 2,083 | $33K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,068 | 950 | $21K |
| 90674 | <1% | 910 | 883 | $18K |
86 more codes
| 96127 | <1% | 3,775 | $13K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 143 | $13K |
| 99385 | <1% | 120 | $11K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,731 | $10K |
| 99402 | <1% | 188 | $10K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 338 | $9K |
| 90715 | <1% | 180 | $7K | |
| 99490 | Ccm add 20min | <1% | 2,449 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 813 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 104 | $6K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 574 | $4K |
| 90662 | <1% | 661 | $4K | |
| 94729 | <1% | 117 | $4K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,098 | $4K |
| 94726 | <1% | 117 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 72 | $3K |
| 90656 | <1% | 123 | $3K | |
| 94060 | <1% | 117 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 119 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 398 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 38 | $3K |
| 90739 | <1% | 17 | $2K | |
| 82962 | <1% | 2,596 | $2K | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | <1% | 181 | $2K |
| 99457 | <1% | 534 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 38 | $2K |
| 99386 | <1% | 12 | $2K | |
| 90688 | <1% | 84 | $1K | |
| G0008 | Administration of influenza virus vaccine | <1% | 993 | $1K |
| 99496 | <1% | 30 | $1K | |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | <1% | 429 | $1K |
| 99458 | <1% | 461 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 118 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 79 | $1K |
| 99454 | <1% | 230 | $762.96 | |
| 99483 | Prolong outpt/office vis | <1% | 16 | $747.12 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 20 | $731.97 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 103 | $705.61 |
| 94375 | <1% | 57 | $532.84 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 207 | $246.39 |
| 99439 | <1% | 82 | $237.77 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 12 | $208.78 |
| 90694 | <1% | 34 | $204.54 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $95.65 |
| 99453 | <1% | 63 | $91.98 | |
| 99487 | Ccm add 20min | <1% | 13 | $41.85 |
| 1111F | <1% | 972 | $36.00 | |
| 82950 | <1% | 21 | $14.06 | |
| 3078F | <1% | 23,554 | $2.00 | |
| 1160F | <1% | 30,025 | $2.00 | |
| 3074F | <1% | 20,129 | $1.00 | |
| 3008F | <1% | 28,039 | $1.00 | |
| 1159F | <1% | 30,371 | $1.00 | |
| 1101F | 0% | 843 | $0.00 | |
| 1170F | 0% | 1,291 | $0.00 | |
| 3044F | 0% | 2,606 | $0.00 | |
| 3079F | 0% | 4,864 | $0.00 | |
| 3075F | 0% | 6,370 | $0.00 | |
| 1125F | 0% | 951 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 829 | $0.00 |
| 3048F | 0% | 1,191 | $0.00 | |
| 1034F | 0% | 150 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 678 | $0.00 |
| 2000F | 0% | 3,712 | $0.00 | |
| 1036F | 0% | 3,632 | $0.00 | |
| 1126F | 0% | 1,585 | $0.00 | |
| 3049F | 0% | 779 | $0.00 | |
| 2010F | 0% | 26,232 | $0.00 | |
| 3080F | 0% | 666 | $0.00 | |
| 4037F | 0% | 15 | $0.00 | |
| 0509F | 0% | 20 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 31 | $0.00 |
| 36416 | 0% | 50 | $0.00 | |
| 0521F | 0% | 1,727 | $0.00 | |
| 2014F | 0% | 383 | $0.00 | |
| 3050F | 0% | 466 | $0.00 | |
| 1100F | 0% | 157 | $0.00 | |
| 3077F | 0% | 2,900 | $0.00 | |
| 3725F | 0% | 6,269 | $0.00 | |
| 1158F | 0% | 2,991 | $0.00 | |
| 0518F | 0% | 1,127 | $0.00 | |
| 1090F | 0% | 1,068 | $0.00 | |
| 99001 | 0% | 52 | $0.00 | |
| 3288F | 0% | 103 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 38 | $0.00 |
| 1033F | 0% | 14 | $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 officialTEJEDA, CARLOS (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Center for Med Care, PC | Passaic, NJ | $478K |
| Servicios De Hematologia Y Oncologia Del Este, C.S.P. | Fajardo, PR | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.