Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ENGLEWOOD FAMILY HEALTH CENTER, P.A

NPI: 1366693145 · ENGLEWOOD, NJ 07631 · Internal Medicine Physician · NPI assigned 10/10/2008

$964K
Total Medicaid Paid
49,957
Total Claims
43,211
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPORTILLA, DIANA (MEDICAL DIRECTOR)
NPI Enumeration Date10/10/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,684 $183K
2019 9,962 $178K
2020 9,469 $125K
2021 7,665 $139K
2022 6,915 $143K
2023 5,666 $116K
2024 3,596 $78K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,663 9,309 $431K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,940 6,037 $352K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 856 835 $55K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,595 1,403 $49K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,028 862 $25K
93000 1,230 1,210 $12K
99215 Prolong outpt/office vis 161 156 $11K
G0444 Annual depression screening, 5 to 15 minutes 951 911 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 46 45 $3K
81003 2,754 2,544 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 188 187 $2K
99408 132 132 $2K
99490 Ccm add 20min 403 313 $2K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 641 618 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 313 280 $1K
90688 86 86 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 45 41 $1K
99483 Prolong outpt/office vis 16 13 $886.51
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 142 104 $868.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 135 134 $868.55
J7050 Infusion, normal saline solution, 250 cc 569 478 $474.92
90662 49 46 $390.07
1170F 1,975 1,741 $371.00
96127 223 219 $342.43
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 76 72 $342.28
92588 15 15 $237.64
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 17 16 $196.35
1159F 1,385 1,238 $185.00
99441 16 15 $183.21
1126F 848 771 $180.00
J1885 Injection, ketorolac tromethamine, per 15 mg 244 200 $136.92
1125F 772 701 $112.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 185 147 $102.22
3288F 980 891 $84.65
99050 14 14 $58.05
36415 Collection of venous blood by venipuncture 24 20 $50.04
G0008 Administration of influenza virus vaccine 27 27 $36.84
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 12 12 $36.09
3074F 32 29 $14.00
3078F 35 33 $12.00
3077F 35 25 $10.00
3014F 912 809 $8.00
3079F 30 26 $8.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,179 846 $8.00
3061F 32 27 $6.00
3072F 14 13 $2.00
3044F 12 12 $2.00
3060F 15 13 $1.00
1036F 2,435 2,175 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 370 311 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 463 418 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,976 1,777 $0.00
3017F 1,218 1,011 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 85 70 $0.00
4037F 14 12 $0.00
1101F 87 63 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 118 83 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 32 30 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,125 986 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,843 1,664 $0.00
3342F 312 275 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 214 173 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 171 128 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 105 88 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 116 76 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 86 81 $0.00
G8482 Influenza immunization administered or previously received 90 77 $0.00
99072 13 12 $0.00
G8598 Aspirin or another antiplatelet therapy used 32 25 $0.00