Clinic
Center for Med Care, PC
Center for Med Care, PC was paid $478K by Medicaid between Jan 2018 and Jul 2022, across 48 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoCENTER FOR MED CARE, PC
PASSAIC, NJ 07055
PASSAIC, NJ 07055
33aNPI1215350269assigned 01/28/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$478K
24GClaims49,119
24DCodes billed48
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#24 of 130
Median peer was paid$86K
This provider vs. median5.6×
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 | 4,287 | $54K | |
| 2019 | 7,755 | $89K | |
| 2020 | 9,048 | $116K | |
| 2021 | 18,047 | $123K | |
| 2022 | 9,982 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 2,831 | 2,635 | $200K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 3,653 | 3,268 | $182K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.1% | 298 | 292 | $24K |
| 99497 | 4.4% | 554 | 523 | $21K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 133 | 127 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 825 | 804 | $9K |
| 90686 | 1.4% | 397 | 391 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 293 | 249 | $6K |
| 99401 | 1.1% | 185 | 151 | $5K | |
| 93000 | <1% | 438 | 425 | $5K | |
| 90746 | <1% | 72 | 71 | $4K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 207 | 207 | $2K |
36 more codes
| 96127 | <1% | 567 | $2K | |
| 90674 | <1% | 68 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $388.11 |
| 82962 | <1% | 327 | $352.68 | |
| 90662 | <1% | 28 | $110.22 | |
| G0008 | Administration of influenza virus vaccine | <1% | 27 | $31.76 |
| 99490 | Ccm add 20min | <1% | 12 | $6.38 |
| 3008F | <1% | 5,392 | $6.00 | |
| 1111F | <1% | 32 | $4.00 | |
| 2000F | 0% | 1,171 | $0.00 | |
| 1036F | 0% | 677 | $0.00 | |
| 3074F | 0% | 4,033 | $0.00 | |
| 2010F | 0% | 5,370 | $0.00 | |
| 3079F | 0% | 1,036 | $0.00 | |
| 3075F | 0% | 833 | $0.00 | |
| 3048F | 0% | 28 | $0.00 | |
| 3044F | 0% | 566 | $0.00 | |
| 1170F | 0% | 13 | $0.00 | |
| 1034F | 0% | 28 | $0.00 | |
| 3080F | 0% | 43 | $0.00 | |
| 1101F | 0% | 13 | $0.00 | |
| 4037F | 0% | 147 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 29 | $0.00 |
| 3014F | 0% | 12 | $0.00 | |
| 1125F | 0% | 13 | $0.00 | |
| 3077F | 0% | 350 | $0.00 | |
| 3078F | 0% | 4,205 | $0.00 | |
| 1160F | 0% | 6,105 | $0.00 | |
| 3725F | 0% | 1,172 | $0.00 | |
| 1033F | 0% | 211 | $0.00 | |
| 3050F | 0% | 137 | $0.00 | |
| 1159F | 0% | 6,121 | $0.00 | |
| 1158F | 0% | 398 | $0.00 | |
| 0521F | 0% | 13 | $0.00 | |
| 0518F | 0% | 13 | $0.00 | |
| 1090F | 0% | 15 | $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 officialTEJEDA, CARLOS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Center for Adult Medicine and Preventive Care, PC | Passaic, NJ | $2.86M |
| Servicios De Hematologia Y Oncologia Del Este, C.S.P. | Fajardo, PR | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.