Clinic
Saint James Health INC
Saint James Health INC was paid $2.13M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 44% of everything it billed.
33Billing provider infoSAINT JAMES HEALTH INC
NEWARK, NJ 07105
NEWARK, NJ 07105
33aNPI1225409675assigned 10/12/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.13M
24GClaims76,011
24DCodes billed101
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#31 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 | 2,812 | $87K | |
| 2019 | 2,533 | $73K | |
| 2020 | 6,063 | $226K | |
| 2021 | 14,675 | $423K | |
| 2022 | 17,943 | $354K | |
| 2023 | 19,897 | $495K | |
| 2024incomplete | 12,088 | $475K |
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 | 44% | 4,246 | 2,833 | $928K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 16,649 | 14,557 | $549K |
| 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 | 9.8% | 4,796 | 4,206 | $208K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 3,482 | 3,012 | $86K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.3% | 1,365 | 1,349 | $50K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.2% | 1,401 | 1,289 | $47K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 2,589 | 2,466 | $41K |
| 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% | 507 | 499 | $21K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 325 | 309 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,872 | 1,706 | $17K |
| 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% | 235 | 230 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 280 | 249 | $12K |
89 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 208 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,064 | $10K |
| 90461 | <1% | 738 | $9K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 191 | $9K |
| 81025 | <1% | 2,884 | $8K | |
| 0001A | <1% | 282 | $8K | |
| 57410 | <1% | 240 | $7K | |
| 99205 | Prolong outpt/office vis | <1% | 81 | $6K |
| 0002A | <1% | 222 | $5K | |
| 97802 | <1% | 236 | $5K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 328 | $5K |
| 90686 | <1% | 909 | $4K | |
| 0013A | <1% | 198 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 97 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,054 | $3K |
| 90656 | <1% | 652 | $3K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 231 | $3K |
| 0012A | <1% | 430 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,662 | $2K |
| 90658 | <1% | 208 | $2K | |
| 81007 | <1% | 255 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 519 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,323 | $2K |
| 99201 | <1% | 66 | $2K | |
| 90746 | <1% | 26 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 105 | $1K |
| 0011A | <1% | 420 | $1K | |
| 92551 | <1% | 171 | $1K | |
| 0003A | <1% | 54 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 131 | $1K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 242 | $1K |
| 0072A | <1% | 39 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 183 | $970.97 |
| 0071A | <1% | 34 | $920.00 | |
| 89190 | <1% | 2,947 | $890.53 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 47 | $817.37 |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | <1% | 1,054 | $743.60 |
| 98960 | <1% | 229 | $735.13 | |
| 87428 | <1% | 39 | $651.87 | |
| 0134A | <1% | 63 | $640.00 | |
| 99382 | <1% | 12 | $619.85 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $598.17 |
| 90674 | <1% | 40 | $527.80 | |
| 90677 | <1% | 41 | $523.12 | |
| 99385 | <1% | 12 | $517.72 | |
| 82950 | <1% | 718 | $502.10 | |
| 99173 | <1% | 190 | $347.71 | |
| 81003 | <1% | 693 | $332.71 | |
| 82962 | <1% | 905 | $331.10 | |
| 81002 | <1% | 646 | $299.96 | |
| 88142 | <1% | 14 | $265.48 | |
| 90716 | <1% | 17 | $248.92 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 20 | $232.00 |
| 99406 | <1% | 35 | $190.51 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 44 | $147.99 |
| 87430 | <1% | 37 | $134.59 | |
| 96127 | <1% | 71 | $123.95 | |
| 0124A | <1% | 12 | $120.00 | |
| 81001 | <1% | 59 | $92.10 | |
| 91300 | <1% | 563 | $64.00 | |
| 90633 | <1% | 111 | $62.48 | |
| 83655 | <1% | 57 | $60.01 | |
| 90837 | Psychotherapy session, about an hour | <1% | 397 | $60.00 |
| 91301 | <1% | 958 | $42.00 | |
| 99000 | <1% | 5,217 | $41.93 | |
| 3008F | <1% | 105 | $40.00 | |
| 81000 | <1% | 16 | $16.32 | |
| 87807 | <1% | 14 | $16.27 | |
| 99459 | <1% | 36 | $11.70 | |
| 3079F | <1% | 862 | $4.00 | |
| 3077F | <1% | 503 | $3.00 | |
| 3078F | <1% | 1,004 | $2.00 | |
| 3074F | <1% | 1,081 | $1.00 | |
| 3080F | <1% | 146 | $1.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 684 | $0.00 |
| 3075F | 0% | 474 | $0.00 | |
| 91307 | 0% | 47 | $0.00 | |
| 4037F | 0% | 118 | $0.00 | |
| 91306 | 0% | 21 | $0.00 | |
| 90657 | 0% | 12 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 3725F | 0% | 870 | $0.00 | |
| 99001 | 0% | 75 | $0.00 | |
| 90661 | 0% | 28 | $0.00 | |
| 90671 | 0% | 37 | $0.00 | |
| 91312 | 0% | 12 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 87 | $0.00 |
| 4551F | 0% | 212 | $0.00 | |
| 91313 | 0% | 63 | $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 officialFIELDS, NICOLE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Saint James Health INC | Newark, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.