Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › PASSAIC › CENTER FOR ADULT MEDICINE AND PREVENTIVE CARE, PC

CENTER FOR ADULT MEDICINE AND PREVENTIVE CARE, PC

NPI: 1073779658 · PASSAIC, NJ 07055 · Clinic/Center · NPI assigned 08/02/2008

$2.86M
Total Medicaid Paid
284,406
Total Claims
258,543
Beneficiaries
98
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTEJEDA, CARLOS (MEDICAL DIRECTOR)
NPI Enumeration Date08/02/2008

Related Entities

Other providers sharing the same authorized official: TEJEDA, CARLOS

ProviderCityStateTotal Paid
CENTER FOR MED CARE, PC PASSAIC NJ $478K
SERVICIOS DE HEMATOLOGIA Y ONCOLOGIA DEL ESTE, C.S.P. FAJARDO PR $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 28,416 $230K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,816 16,284 $1.14M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,435 13,183 $751K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,639 2,596 $247K
99497 3,259 3,108 $126K
99401 4,299 2,841 $111K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,225 1,198 $108K
90746 1,080 1,072 $57K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,874 4,697 $55K
93000 4,069 3,879 $40K
90686 2,134 2,083 $33K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,068 950 $21K
90674 910 883 $18K
96127 3,775 3,632 $13K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 143 136 $13K
99385 120 114 $11K
G0444 Annual depression screening, 5 to 15 minutes 1,731 1,526 $10K
99402 188 187 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 338 310 $9K
90715 180 174 $7K
99490 Ccm add 20min 2,449 2,166 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 813 589 $6K
99215 Prolong outpt/office vis 104 94 $6K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 574 545 $4K
90662 661 598 $4K
94729 117 108 $4K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,098 950 $4K
94726 117 109 $4K
99223 Prolong inpt eval add15 m 72 59 $3K
90656 123 123 $3K
94060 117 108 $3K
99239 Hospital discharge day management, more than 30 minutes 119 98 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 398 249 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38 38 $3K
90739 17 15 $2K
82962 2,596 2,221 $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) 181 179 $2K
99457 534 470 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 38 38 $2K
99386 12 12 $2K
90688 84 84 $1K
G0008 Administration of influenza virus vaccine 993 906 $1K
99496 30 24 $1K
G0451 Development testing, with interpretation and report, per standardized instrument form 429 370 $1K
99458 461 397 $1K
90472 Immunization administration, each additional vaccine (list separately) 118 114 $1K
99232 Subsequent hospital care, per day, moderate complexity 79 26 $1K
99454 230 193 $762.96
99483 Prolong outpt/office vis 16 14 $747.12
99233 Prolong inpt eval add15 m 20 13 $731.97
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 103 81 $705.61
94375 57 52 $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) 207 189 $246.39
99439 82 76 $237.77
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12 12 $208.78
90694 34 29 $204.54
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $95.65
99453 63 56 $91.98
99487 Ccm add 20min 13 13 $41.85
1111F 972 851 $36.00
82950 21 20 $14.06
3078F 23,554 21,292 $2.00
1160F 30,025 26,966 $2.00
3074F 20,129 18,320 $1.00
3008F 28,039 25,182 $1.00
1159F 30,371 27,265 $1.00
1101F 843 763 $0.00
1170F 1,291 1,166 $0.00
3044F 2,606 2,511 $0.00
3079F 4,864 4,543 $0.00
3075F 6,370 5,937 $0.00
1125F 951 905 $0.00
H0049 Alcohol and/or drug screening 829 800 $0.00
3048F 1,191 1,132 $0.00
1034F 150 141 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 678 614 $0.00
2000F 3,712 3,470 $0.00
1036F 3,632 3,290 $0.00
1126F 1,585 1,455 $0.00
3049F 779 755 $0.00
2010F 26,232 24,005 $0.00
3080F 666 643 $0.00
4037F 15 15 $0.00
0509F 20 19 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 31 31 $0.00
36416 50 47 $0.00
0521F 1,727 1,579 $0.00
2014F 383 351 $0.00
3050F 466 449 $0.00
1100F 157 154 $0.00
3077F 2,900 2,684 $0.00
3725F 6,269 5,842 $0.00
1158F 2,991 2,927 $0.00
0518F 1,127 1,005 $0.00
1090F 1,068 945 $0.00
99001 52 46 $0.00
3288F 103 89 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 38 38 $0.00
1033F 14 12 $0.00