Clinic
Newark Community Health Centers,inc.
Newark Community Health Centers,inc. was paid $2.16M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoNEWARK COMMUNITY HEALTH CENTERS,INC.
EAST ORANGE, NJ 07017
EAST ORANGE, NJ 07017
33aNPI1194996645assigned 03/12/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.16M
24GClaims26,110
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Jersey
Rank by total paid#29 of 98
Median peer was paid$758K
This provider vs. median2.8×
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 | 4,660 | $308K | |
| 2019 | 5,751 | $359K | |
| 2020 | 4,036 | $316K | |
| 2021 | 3,214 | $318K | |
| 2022 | 1,414 | $154K | |
| 2023 | 1,705 | $212K | |
| 2024incomplete | 5,330 | $490K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 11,569 | 9,333 | $2.15M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 4,455 | 3,922 | $6K |
| 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 | <1% | 2,338 | 2,009 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 963 | 928 | $1K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 539 | 461 | $429.12 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 136 | 136 | $127.11 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 14 | $78.62 |
| 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% | 280 | 280 | $61.14 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,636 | 1,543 | $12.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 786 | 777 | $12.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 16 | 15 | $1.11 |
| 99385 | 0% | 115 | 113 | $0.00 |
32 more codes
| 90698 | 0% | 38 | $0.00 | |
| 99383 | 0% | 15 | $0.00 | |
| 82962 | 0% | 140 | $0.00 | |
| 90716 | 0% | 73 | $0.00 | |
| 90744 | 0% | 163 | $0.00 | |
| 92551 | 0% | 330 | $0.00 | |
| 99386 | 0% | 80 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 62 | $0.00 |
| 90686 | 0% | 112 | $0.00 | |
| 90656 | 0% | 155 | $0.00 | |
| 97802 | 0% | 12 | $0.00 | |
| 90651 | 0% | 18 | $0.00 | |
| 99384 | 0% | 18 | $0.00 | |
| 99441 | 0% | 14 | $0.00 | |
| 99173 | 0% | 542 | $0.00 | |
| 90715 | 0% | 108 | $0.00 | |
| 92552 | 0% | 36 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 132 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 202 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 78 | $0.00 |
| 90633 | 0% | 258 | $0.00 | |
| 90670 | 0% | 117 | $0.00 | |
| 90734 | 0% | 97 | $0.00 | |
| 99201 | 0% | 12 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 192 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 80 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 37 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 17 | $0.00 |
| 90707 | 0% | 67 | $0.00 | |
| 90713 | 0% | 28 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 18 | $0.00 |
| 90710 | 0% | 12 | $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 officialCLARKE, PAMELA (PRESEIDENT/CEO)
Parent organizationNEWARK COMMUNITY HEALTH CENTERS,INC.
| Provider | Location | Paid |
|---|---|---|
| Newark Community Health Centers, INC. | Newark, NJ | $17.15M |
| Newark Community Health Centers, INC. | Newark, NJ | $1.91M |
| Newark Community Health Centers INC | Irvington, NJ | $1.39M |
| Newark Community Health Centers INC. | Orange, NJ | $290K |
| Newark Community Health Centers, INC | Newark, NJ | $249K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.