Community Urgent Care NJ PA

Community Urgent Care NJ PA was paid $1.41M by Medicaid between Feb 2021 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoCOMMUNITY URGENT CARE NJ PA
PATERSON, NJ 07514

33aNPI1417580887assigned 02/13/2020

33bProvider typePrimary Care Clinic/Center

28Total paid$1.41M

24GClaims49,278

24DCodes billed21

24AFirst – last monthFeb 2021 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in New Jersey

Rank by total paid#12 of 130

Median peer was paid$86K

This provider vs. median16×

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	734	$37K
2022	15,864	$536K
2023	23,791	$761K
2024incomplete	8,889	$72K

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	26%	14,303	12,374	$359K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	23%	13,436	11,414	$329K
S9083	Global fee urgent care centers	21%	3,777	3,214	$291K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	6,425	6,094	$168K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	4.8%	2,849	2,443	$67K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	4.7%	2,024	1,729	$67K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	4.3%	2,888	1,455	$60K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.1%	649	475	$15K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.0%	610	465	$14K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	229	195	$9K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	281	254	$7K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	195	128	$5K

9 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	336	$4K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	659	$4K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	243	$3K
87070		<1%	88	$2K
90686		<1%	107	$858.03
90756		<1%	13	$143.83
90674		<1%	66	$29.22
81003		<1%	14	$19.04
87184		<1%	86	$7.65

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 officialPRESCHEL, SAMUEL (OWNER)