Clinic
Family Planning Center of Ocean County, INC.
Family Planning Center of Ocean County, INC. was paid $406K by Medicaid between Feb 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoFAMILY PLANNING CENTER OF OCEAN COUNTY, INC.
TOMS RIVER, NJ 08753
TOMS RIVER, NJ 08753
33aNPI1376684852assigned 02/09/2007
33bProvider typeAmbulatory Family Planning Facility
28Total paid$406K
24GClaims4,828
24DCodes billed13
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in New Jersey
Rank by total paid#10 of 12
Median peer was paid$1.12M
This provider vs. median0.4×
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 | 654 | $43K | |
| 2019 | 848 | $53K | |
| 2020 | 668 | $48K | |
| 2021 | 813 | $61K | |
| 2022 | 677 | $56K | |
| 2023 | 709 | $75K | |
| 2024incomplete | 459 | $71K |
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 | 53% | 1,976 | 1,917 | $217K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17% | 990 | 953 | $70K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 14% | 362 | 360 | $56K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.2% | 198 | 198 | $33K |
| 99201 | 2.7% | 87 | 85 | $11K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 1.9% | 359 | 354 | $8K |
| 81025 | <1% | 370 | 367 | $4K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 228 | 228 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 92 | 91 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 114 | 113 | $587.06 |
| 81000 | <1% | 27 | 27 | $473.10 | |
| 86703 | <1% | 12 | 12 | $216.00 |
1 more codes
| 87210 | <1% | 13 | $29.98 |
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 officialBILLINGHAM, DARLENE (COO)