Clinic
Irvington Primary Care LLC
Irvington Primary Care LLC was paid $468K by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoIRVINGTON PRIMARY CARE LLC
IRVINGTON, NJ 07111
IRVINGTON, NJ 07111
33aNPI1134563836assigned 04/24/2013
33bProvider typeClinic/Center
28Total paid$468K
24GClaims37,148
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in New Jersey
Rank by total paid#40 of 97
Median peer was paid$318K
This provider vs. median1.5×
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 | 1,564 | $85K | |
| 2019 | 1,556 | $81K | |
| 2020 | 1,429 | $62K | |
| 2021 | 1,702 | $69K | |
| 2022 | 8,327 | $64K | |
| 2023 | 12,522 | $63K | |
| 2024incomplete | 10,048 | $45K |
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 | 81% | 8,417 | 8,118 | $378K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 10% | 623 | 608 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 521 | 509 | $20K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.7% | 160 | 160 | $13K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 267 | 252 | $4K |
| 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% | 40 | 39 | $3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 227 | 224 | $934.10 |
| 99423 | <1% | 29 | 28 | $510.48 | |
| 99497 | <1% | 86 | 84 | $403.98 | |
| 93000 | <1% | 29 | 29 | $366.55 | |
| 90686 | <1% | 61 | 61 | $293.32 | |
| 99422 | <1% | 22 | 22 | $255.82 |
21 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $163.80 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 180 | $100.63 |
| 90688 | <1% | 15 | $86.15 | |
| 90656 | <1% | 18 | $73.07 | |
| 1111F | <1% | 3,771 | $48.00 | |
| 3074F | <1% | 1,611 | $28.03 | |
| G0008 | Administration of influenza virus vaccine | <1% | 29 | $14.92 |
| 2022F | <1% | 28 | $2.00 | |
| 3044F | <1% | 28 | $2.00 | |
| 3061F | <1% | 29 | $2.00 | |
| 3288F | 0% | 2,796 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,393 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 1,388 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 1,230 | $0.00 |
| 4013F | 0% | 1,923 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 35 | $0.00 |
| 3014F | 0% | 947 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 3,314 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,335 | $0.00 |
| 3017F | 0% | 215 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 2,354 | $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 officialASHRAF, TAZZEEN (PRESIDENT/OFFICE MANAGER)