Clinic
A1 Medical Care PC
A1 Medical Care PC was paid $342K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoA1 MEDICAL CARE PC
EAST ORANGE, NJ 07018
EAST ORANGE, NJ 07018
33aNPI1154662153assigned 03/15/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$342K
24GClaims14,095
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#31 of 130
Median peer was paid$86K
This provider vs. median4.0×
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 | 1,671 | $56K | |
| 2019 | 1,506 | $51K | |
| 2020 | 1,956 | $48K | |
| 2021 | 2,064 | $48K | |
| 2022 | 2,763 | $58K | |
| 2023 | 2,474 | $49K | |
| 2024incomplete | 1,661 | $33K |
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 | 40% | 5,016 | 4,739 | $139K |
| 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 | 21% | 2,300 | 2,202 | $73K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 14% | 795 | 786 | $50K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 14% | 866 | 862 | $49K |
| 90682 | 3.6% | 329 | 317 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 721 | 699 | $9K |
| 90686 | 1.2% | 290 | 284 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 237 | 226 | $3K |
| 99490 | Ccm add 20min | <1% | 1,270 | 1,117 | $1K |
| 90656 | <1% | 43 | 43 | $645.83 | |
| 90662 | <1% | 86 | 85 | $278.77 | |
| 99439 | <1% | 433 | 395 | $278.51 |
9 more codes
| 99442 | <1% | 23 | $164.99 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 70 | $91.31 |
| G0008 | Administration of influenza virus vaccine | <1% | 202 | $49.29 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 13 | $44.94 |
| 3074F | <1% | 625 | $20.00 | |
| 3078F | <1% | 683 | $20.00 | |
| 3044F | <1% | 42 | $1.00 | |
| 1170F | 0% | 38 | $0.00 | |
| 1159F | 0% | 13 | $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 officialMADDALI, RADHIKA (OWNER)