Clinic
Zufall Health Center, INC
Zufall Health Center, INC was paid $719K by Medicaid between May 2021 and Nov 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoZUFALL HEALTH CENTER, INC
PLAINSBORO, NJ 08536
PLAINSBORO, NJ 08536
33aNPI1306428388assigned 04/28/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$719K
24GClaims17,439
24DCodes billed36
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Jersey
Rank by total paid#51 of 98
Median peer was paid$758K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 3,269 | $120K | |
| 2022 | 6,208 | $219K | |
| 2023 | 5,945 | $285K | |
| 2024incomplete | 2,017 | $96K |
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 | 68% | 2,201 | 1,360 | $486K |
| 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% | 5,515 | 4,929 | $129K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 1,362 | 1,330 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 401 | 325 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 301 | 300 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 374 | 370 | $7K |
| 92551 | <1% | 700 | 693 | $6K | |
| 90677 | <1% | 63 | 61 | $6K | |
| 97802 | <1% | 787 | 740 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 138 | 138 | $4K |
| 97803 | <1% | 201 | 191 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 98 | 96 | $3K |
24 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 112 | $3K |
| 90686 | <1% | 429 | $3K | |
| 90461 | <1% | 179 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 95 | $3K |
| 99383 | <1% | 51 | $933.64 | |
| 90697 | <1% | 17 | $780.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 100 | $682.46 |
| 90651 | <1% | 12 | $500.00 | |
| 99384 | <1% | 17 | $466.82 | |
| 90656 | <1% | 155 | $452.46 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 24 | $270.84 |
| 90671 | <1% | 14 | $250.00 | |
| 90670 | <1% | 13 | $140.00 | |
| 99173 | <1% | 553 | $115.12 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 235 | $87.98 |
| 82947 | <1% | 13 | $45.87 | |
| 81002 | <1% | 764 | $9.91 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,609 | $0.00 |
| 99401 | 0% | 80 | $0.00 | |
| 0502F | 0% | 28 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 14 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 758 | $0.00 |
| 3074F | 0% | 14 | $0.00 | |
| 90716 | 0% | 12 | $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 | Newton, NJ | $139K |
| 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.