Physician
Cumberland Family Medicine LLC
Cumberland Family Medicine LLC was paid $171K by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCUMBERLAND FAMILY MEDICINE LLC
MILLVILLE, NJ 08332
MILLVILLE, NJ 08332
33aNPI1174689004assigned 12/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$171K
24GClaims140,825
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#113 of 414
Median peer was paid$28K
This provider vs. median6.1×
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 | 2,963 | $12K | |
| 2019 | 4,410 | $15K | |
| 2020 | 7,705 | $19K | |
| 2021 | 9,399 | $24K | |
| 2022 | 25,089 | $33K | |
| 2023 | 47,106 | $36K | |
| 2024incomplete | 44,153 | $31K |
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 | 33% | 19,804 | 17,995 | $56K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 19% | 1,146 | 1,053 | $32K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 13% | 812 | 749 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 11% | 1,805 | 1,746 | $19K |
| 90688 | 9.8% | 1,221 | 1,180 | $17K | |
| 91320 | 4.1% | 101 | 99 | $7K | |
| 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 | 3.2% | 1,354 | 1,291 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.3% | 137 | 119 | $2K |
| 90480 | 1.2% | 96 | 93 | $2K | |
| 90658 | 1.1% | 158 | 157 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 265 | 243 | $1K |
| 99490 | Ccm add 20min | <1% | 1,521 | 1,451 | $856.20 |
69 more codes
| 0011A | <1% | 39 | $750.00 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 12 | $654.45 |
| 0012A | <1% | 26 | $610.00 | |
| 99406 | <1% | 2,251 | $568.94 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 728 | $473.96 |
| 96127 | <1% | 1,889 | $241.63 | |
| 90662 | <1% | 104 | $138.35 | |
| G0008 | Administration of influenza virus vaccine | <1% | 136 | $115.00 |
| 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) | <1% | 90 | $33.80 |
| 99484 | <1% | 112 | $24.59 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 30 | $19.97 |
| 99441 | <1% | 13 | $17.41 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 717 | $0.00 |
| 4035F | 0% | 516 | $0.00 | |
| 1159F | 0% | 5,590 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 1,538 | $0.00 |
| 4040F | 0% | 441 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,298 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 159 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 167 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 5,663 | $0.00 |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | 0% | 2,051 | $0.00 |
| 2022F | 0% | 303 | $0.00 | |
| 1160F | 0% | 5,589 | $0.00 | |
| G9905 | Patient not screened for tobacco use | 0% | 167 | $0.00 |
| 3078F | 0% | 9,270 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,678 | $0.00 |
| 3046F | 0% | 433 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,284 | $0.00 |
| 3288F | 0% | 581 | $0.00 | |
| 3015F | 0% | 502 | $0.00 | |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 599 | $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% | 1,149 | $0.00 |
| 0518F | 0% | 31 | $0.00 | |
| 4004F | 0% | 222 | $0.00 | |
| 3077F | 0% | 48 | $0.00 | |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 41 | $0.00 |
| 1100F | 0% | 47 | $0.00 | |
| G9990 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 80 | $0.00 |
| 81002 | 0% | 12 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 17 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 20 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 13 | $0.00 |
| 1090F | 0% | 13 | $0.00 | |
| G0029 | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | 0% | 30 | $0.00 |
| 4037F | 0% | 506 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 2,056 | $0.00 |
| 1126F | 0% | 1,594 | $0.00 | |
| 3079F | 0% | 2,185 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 480 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 1,965 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,368 | $0.00 |
| 3074F | 0% | 7,754 | $0.00 | |
| 1036F | 0% | 5,573 | $0.00 | |
| 3075F | 0% | 3,583 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 2,144 | $0.00 |
| 3061F | 0% | 14 | $0.00 | |
| 3351F | 0% | 800 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,053 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 5,724 | $0.00 |
| 1125F | 0% | 167 | $0.00 | |
| 3353F | 0% | 52 | $0.00 | |
| 1000F | 0% | 7,444 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 5,531 | $0.00 |
| 3017F | 0% | 3,675 | $0.00 | |
| 3008F | 0% | 7,930 | $0.00 | |
| 91301 | 0% | 54 | $0.00 | |
| 3044F | 0% | 40 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 14 | $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 officialASHTON, JANE (OFFICE MANAGER)