Physician
Forest Hill Family Health Associates P a
Forest Hill Family Health Associates P a was paid $1.02M by Medicaid between Jan 2018 and Jun 2022, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoFOREST HILL FAMILY HEALTH ASSOCIATES P A
NEWARK, NJ 07104
NEWARK, NJ 07104
33aNPI1134292360assigned 11/16/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.02M
24GClaims56,755
24DCodes billed47
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#27 of 414
Median peer was paid$28K
This provider vs. median36×
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 | 14,486 | $254K | |
| 2019 | 13,544 | $249K | |
| 2020 | 13,954 | $243K | |
| 2021 | 14,223 | $245K | |
| 2022 | 548 | $27K |
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 | 53% | 23,381 | 20,840 | $540K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 14% | 2,625 | 2,606 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 4,345 | 4,094 | $86K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.7% | 1,386 | 1,378 | $68K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.2% | 2,164 | 2,089 | $43K |
| 99496 | 2.6% | 483 | 477 | $26K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 1,330 | 1,314 | $16K |
| 90688 | 1.5% | 955 | 951 | $15K | |
| 96127 | 1.2% | 4,675 | 4,590 | $12K | |
| 82947 | <1% | 4,116 | 3,788 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 229 | 229 | $8K |
| 93000 | <1% | 1,757 | 1,721 | $7K |
35 more codes
| 99442 | <1% | 927 | $7K | |
| 90756 | <1% | 618 | $6K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 991 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,211 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,055 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 75 | $4K |
| 99443 | <1% | 288 | $3K | |
| 99385 | <1% | 37 | $2K | |
| 99397 | <1% | 88 | $2K | |
| 99406 | <1% | 570 | $2K | |
| 99483 | Prolong outpt/office vis | <1% | 58 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 43 | $800.38 |
| 99386 | <1% | 12 | $720.80 | |
| 99497 | <1% | 114 | $689.21 | |
| 99407 | <1% | 112 | $611.68 | |
| 90658 | <1% | 40 | $507.14 | |
| 99490 | Ccm add 20min | <1% | 411 | $501.03 |
| G0008 | Administration of influenza virus vaccine | <1% | 504 | $386.99 |
| 98960 | <1% | 805 | $380.23 | |
| 90674 | <1% | 12 | $269.16 | |
| 99441 | <1% | 46 | $235.06 | |
| 81000 | <1% | 149 | $195.63 | |
| 99421 | <1% | 26 | $162.28 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 16 | $132.93 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 236 | $125.15 |
| 97802 | <1% | 359 | $119.50 | |
| 86580 | <1% | 26 | $101.55 | |
| 82948 | <1% | 93 | $98.32 | |
| 99350 | Prolong home eval add 15m | <1% | 67 | $90.48 |
| 82962 | <1% | 123 | $71.64 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 25 | $49.54 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 64 | $32.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 40 | $18.00 |
| 81002 | <1% | 29 | $13.96 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 39 | $13.52 |
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 officialORTIZ, THOMAS (MEDICAL DIRECTOR)