Physician
Englewood Family Health Center, P.A
Englewood Family Health Center, P.A was paid $964K by Medicaid between Jan 2018 and Nov 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoENGLEWOOD FAMILY HEALTH CENTER, P.A
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
33aNPI1366693145assigned 10/10/2008
33bProvider typeInternal Medicine Physician
28Total paid$964K
24GClaims49,957
24DCodes billed69
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#68 of 1,027
Median peer was paid$30K
This provider vs. median32×
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 | 6,684 | $183K | |
| 2019 | 9,962 | $178K | |
| 2020 | 9,469 | $125K | |
| 2021 | 7,665 | $139K | |
| 2022 | 6,915 | $143K | |
| 2023 | 5,666 | $116K | |
| 2024incomplete | 3,596 | $78K |
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 | 45% | 11,663 | 9,309 | $431K |
| 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 | 37% | 6,940 | 6,037 | $352K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.7% | 856 | 835 | $55K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 1,595 | 1,403 | $49K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.6% | 1,028 | 862 | $25K |
| 93000 | 1.3% | 1,230 | 1,210 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 161 | 156 | $11K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 951 | 911 | $4K |
| 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% | 46 | 45 | $3K |
| 81003 | <1% | 2,754 | 2,544 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 188 | 187 | $2K |
| 99408 | <1% | 132 | 132 | $2K |
57 more codes
| 99490 | Ccm add 20min | <1% | 403 | $2K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 641 | $2K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 313 | $1K |
| 90688 | <1% | 86 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 45 | $1K |
| 99483 | Prolong outpt/office vis | <1% | 16 | $886.51 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 142 | $868.75 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 135 | $868.55 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 569 | $474.92 |
| 90662 | <1% | 49 | $390.07 | |
| 1170F | <1% | 1,975 | $371.00 | |
| 96127 | <1% | 223 | $342.43 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 76 | $342.28 |
| 92588 | <1% | 15 | $237.64 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 17 | $196.35 |
| 1159F | <1% | 1,385 | $185.00 | |
| 99441 | <1% | 16 | $183.21 | |
| 1126F | <1% | 848 | $180.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 244 | $136.92 |
| 1125F | <1% | 772 | $112.00 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 185 | $102.22 |
| 3288F | <1% | 980 | $84.65 | |
| 99050 | <1% | 14 | $58.05 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 24 | $50.04 |
| G0008 | Administration of influenza virus vaccine | <1% | 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 | <1% | 12 | $36.09 |
| 3074F | <1% | 32 | $14.00 | |
| 3078F | <1% | 35 | $12.00 | |
| 3077F | <1% | 35 | $10.00 | |
| 3014F | <1% | 912 | $8.00 | |
| 3079F | <1% | 30 | $8.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,179 | $8.00 |
| 3061F | <1% | 32 | $6.00 | |
| 3072F | <1% | 14 | $2.00 | |
| 3044F | <1% | 12 | $2.00 | |
| 3060F | <1% | 15 | $1.00 | |
| 1036F | 0% | 2,435 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 370 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 463 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,976 | $0.00 |
| 3017F | 0% | 1,218 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 85 | $0.00 |
| 4037F | 0% | 14 | $0.00 | |
| 1101F | 0% | 87 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 118 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 32 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,125 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,843 | $0.00 |
| 3342F | 0% | 312 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 214 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 171 | $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) | 0% | 105 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 116 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 86 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 90 | $0.00 |
| 99072 | 0% | 13 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 32 | $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 officialPORTILLA, DIANA (MEDICAL DIRECTOR)