Essex Primary Care PC

Essex Primary Care PC was paid $48K by Medicaid between Mar 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoESSEX PRIMARY CARE PC
CALDWELL, NJ 07006

33aNPI1205240025assigned 06/19/2014

33bProvider typeInternal Medicine Physician

28Total paid$48K

24GClaims1,733

24DCodes billed8

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#448 of 1,027

Median peer was paid$30K

This provider vs. median1.6×

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	15	$715.60
2019	108	$5K
2020	111	$4K
2021	175	$6K
2022	231	$9K
2023	645	$16K
2024incomplete	448	$9K

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	86%	958	839	$41K
99308	Subsequent nursing facility care, per day, straightforward	6.6%	343	284	$3K
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	3.4%	29	27	$2K
90674		1.7%	39	37	$796.37
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.3%	57	55	$628.00
36415	Collection of venous blood by venipuncture	1.3%	207	168	$625.65
96160		<1%	30	26	$48.95
99000		<1%	70	57	$6.55

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 officialGADARLA, MAMATHA (OWNER)