Physician
Prevention Clinics LLC
Prevention Clinics LLC was paid $313K by Medicaid between Jan 2018 and Aug 2022, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoPREVENTION CLINICS LLC
CLIFTON, NJ 07013
CLIFTON, NJ 07013
33aNPI1073981361assigned 09/03/2015
33bProvider typeInternal Medicine Physician
28Total paid$313K
24GClaims5,577
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#178 of 1,027
Median peer was paid$30K
This provider vs. median11×
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 | 954 | $51K | |
| 2019 | 950 | $49K | |
| 2020 | 490 | $36K | |
| 2021 | 1,833 | $95K | |
| 2022 | 1,350 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 3,062 | 2,805 | $178K |
| 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 | 36% | 1,478 | 1,409 | $111K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.5% | 110 | 109 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 73 | 73 | $6K |
| 93000 | <1% | 144 | 140 | $2K | |
| 96127 | <1% | 320 | 313 | $1K | |
| 94010 | <1% | 30 | 30 | $833.58 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 51 | 42 | $645.12 |
| 36415 | Collection of venous blood by venipuncture | <1% | 255 | 246 | $539.73 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | 29 | $257.20 |
| 90674 | <1% | 13 | 13 | $218.80 | |
| 81002 | <1% | 12 | 12 | $3.19 |
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 officialBOUTROS, MAGED (OWNER)