Essentia Health and Wellness Center

Essentia Health and Wellness Center was paid $81K by Medicaid between Jun 2021 and Nov 2022, across 11 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 78% of everything it billed.

33Billing provider infoESSENTIA HEALTH AND WELLNESS CENTER
ELIZABETH, NJ 07208

33aNPI1184025595assigned 09/05/2014

33bProvider typeInternal Medicine Physician

28Total paid$81K

24GClaims4,925

24DCodes billed11

24AFirst – last monthJun 2021 – Nov 2022

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#371 of 1,027

Median peer was paid$30K

This provider vs. median2.7×

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
2021	2,582	$44K
2022	2,343	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	78%	3,542	851	$63K
99491	Ccm add 20min	8.5%	699	524	$7K
99306	Prolong nursin fac eval 15m	6.6%	260	191	$5K
99496		2.2%	33	26	$2K
99308	Subsequent nursing facility care, per day, straightforward	1.6%	154	84	$1K
99310	Prolong nursin fac eval 15m	1.4%	47	30	$1K
99490	Ccm add 20min	<1%	81	61	$627.41
99497		<1%	38	24	$505.96
99307		<1%	40	32	$173.24
99305		<1%	15	14	$67.75
99407		<1%	16	12	$30.96

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 officialDE LA CRUZ, FLAVIA (CEO)