Clinic
Zufall Health Center, INC
Zufall Health Center, INC was paid $139K by Medicaid between Jan 2018 and Mar 2024, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoZUFALL HEALTH CENTER, INC
NEWTON, NJ 07860
NEWTON, NJ 07860
33aNPI1235593435assigned 04/13/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$139K
24GClaims2,638
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Jersey
Rank by total paid#70 of 98
Median peer was paid$758K
This provider vs. median0.2×
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 | 1,762 | $68K | |
| 2019 | 74 | $2K | |
| 2021 | 41 | $0.00 | |
| 2022 | 706 | $69K | |
| 2023 | 41 | $0.00 | |
| 2024incomplete | 14 | $194.85 |
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 | 75% | 548 | 405 | $104K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,185 | 1,077 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 138 | 138 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 28 | 27 | $4K |
| 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% | 62 | 58 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | 13 | $299.00 |
| 82947 | <1% | 89 | 78 | $142.18 | |
| 92551 | <1% | 13 | 13 | $55.93 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 69 | 69 | $3.75 |
| D0140 | Limited oral evaluation - problem focused | 0% | 42 | 42 | $0.00 |
| D0603 | 0% | 12 | 12 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 410 | 284 | $0.00 |
1 more codes
| D1110 | Prophylaxis - adult | 0% | 29 | $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 officialANDERSON, IMOGENE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Zufall Health Center, INC | Plainsboro, NJ | $719K |
| Zufall Health Center, INC | Somerville, NJ | $52K |
| Zufall Health Center, INC | Flemington, NJ | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.