Clinic
Regional Healthcare Associates
Regional Healthcare Associates was paid $1.46M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoREGIONAL HEALTHCARE ASSOCIATES
PENNSAUKEN, NJ 08109
PENNSAUKEN, NJ 08109
33aNPI1356580625assigned 02/10/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$1.46M
24GClaims61,338
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#11 of 130
Median peer was paid$86K
This provider vs. median17×
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 | 6,220 | $225K | |
| 2019 | 7,453 | $219K | |
| 2020 | 8,826 | $211K | |
| 2021 | 10,535 | $217K | |
| 2022 | 11,417 | $220K | |
| 2023 | 9,662 | $215K | |
| 2024incomplete | 7,225 | $155K |
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 | 74% | 27,283 | 23,506 | $1.08M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 7,647 | 6,572 | $163K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.2% | 5,208 | 5,005 | $61K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.4% | 867 | 829 | $50K |
| 90688 | 1.9% | 2,146 | 2,051 | $28K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 311 | 300 | $20K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 236 | 227 | $15K |
| 90756 | <1% | 614 | 608 | $14K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 119 | 115 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 290 | 255 | $3K |
| 3008F | <1% | 6,427 | 6,109 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 287 | 275 | $3K |
26 more codes
| 90658 | <1% | 210 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,239 | $2K |
| 90662 | <1% | 377 | $2K | |
| 86328 | <1% | 40 | $1K | |
| 90694 | <1% | 188 | $874.08 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 45 | $855.00 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 13 | $188.10 |
| G0008 | Administration of influenza virus vaccine | <1% | 429 | $135.50 |
| 86580 | <1% | 12 | $45.58 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 32 | $30.80 |
| 97802 | <1% | 16 | $17.55 | |
| 3074F | 0% | 3,161 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 17 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 222 | $0.00 |
| 1101F | 0% | 49 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 38 | $0.00 |
| 3079F | 0% | 31 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 98 | $0.00 |
| 3078F | 0% | 3,232 | $0.00 | |
| 3077F | 0% | 38 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 55 | $0.00 |
| 4004F | 0% | 97 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 13 | $0.00 |
| 1003F | 0% | 200 | $0.00 | |
| 1160F | 0% | 24 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 27 | $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 officialNGHIEM, GEORGE (ATTENDING)