Agency
Family Medical Group, PC
Family Medical Group, PC was paid $953K by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoFAMILY MEDICAL GROUP, PC
ELIZABETH, NJ 07208
ELIZABETH, NJ 07208
33aNPI1215257878assigned 06/07/2010
33bProvider typeCase Management Agency
28Total paid$953K
24GClaims50,653
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in New Jersey
Rank by total paid#101 of 161
Median peer was paid$2.07M
This provider vs. median0.5×
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 | 3,614 | $147K | |
| 2019 | 4,411 | $142K | |
| 2020 | 4,936 | $129K | |
| 2021 | 7,996 | $139K | |
| 2022 | 11,580 | $150K | |
| 2023 | 9,686 | $133K | |
| 2024incomplete | 8,430 | $114K |
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 | 49% | 12,112 | 9,135 | $470K |
| 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 | 24% | 5,065 | 4,413 | $228K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 13% | 4,832 | 1,781 | $128K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 581 | 560 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 1,974 | 1,925 | $22K |
| 90658 | 2.2% | 1,311 | 1,290 | $21K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 232 | 232 | $18K |
| 90688 | 1.1% | 770 | 753 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 94 | 94 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 157 | 154 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,520 | 3,322 | $6K |
| 81528 | Oncology (colorectal) screening, quantitative real-time target and signal amplification | <1% | 172 | 146 | $3K |
22 more codes
| 99397 | <1% | 80 | $3K | |
| G0008 | Administration of influenza virus vaccine | <1% | 164 | $1K |
| 87110 | <1% | 364 | $1K | |
| 3078F | <1% | 7,738 | $792.81 | |
| 3074F | <1% | 7,731 | $790.81 | |
| 92553 | <1% | 15 | $162.40 | |
| 1126F | <1% | 317 | $29.02 | |
| 1170F | <1% | 325 | $27.02 | |
| 3044F | <1% | 255 | $15.02 | |
| 1159F | <1% | 178 | $1.00 | |
| 1160F | <1% | 176 | $1.00 | |
| 1123F | <1% | 186 | $0.02 | |
| 1158F | 0% | 100 | $0.00 | |
| 99072 | 0% | 1,487 | $0.00 | |
| 1100F | 0% | 17 | $0.00 | |
| 3049F | 0% | 34 | $0.00 | |
| 0509F | 0% | 301 | $0.00 | |
| 1101F | 0% | 161 | $0.00 | |
| 3048F | 0% | 52 | $0.00 | |
| 4037F | 0% | 75 | $0.00 | |
| 1030F | 0% | 64 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 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 officialOTHMAN, ESSAM (OWNER)