Clinic
Metropolitan Family Health Network,inc
Metropolitan Family Health Network,inc was paid $8.42M by Medicaid between Jan 2018 and Dec 2024, across 126 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 44% of everything it billed.
33Billing provider infoMETROPOLITAN FAMILY HEALTH NETWORK,INC
JERSEY CITY, NJ 07304
JERSEY CITY, NJ 07304
33aNPI1417967456assigned 08/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.42M
24GClaims441,966
24DCodes billed126
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Jersey
Rank by total paid#8 of 98
Median peer was paid$758K
This provider vs. median11×
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 | 62,624 | $1.48M | |
| 2019 | 59,616 | $1.40M | |
| 2020 | 49,302 | $954K | |
| 2021 | 64,777 | $1.20M | |
| 2022 | 81,590 | $896K | |
| 2023 | 78,217 | $1.29M | |
| 2024incomplete | 45,840 | $1.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 44% | 20,003 | 16,072 | $3.72M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 70,432 | 61,475 | $1.54M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.3% | 25,441 | 22,965 | $444K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 9,166 | 8,956 | $393K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 29,157 | 28,382 | $311K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 7,929 | 7,545 | $279K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 6,339 | 6,210 | $275K |
| 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 | 2.7% | 12,515 | 11,643 | $229K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 15,189 | 14,917 | $189K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 3,867 | 3,646 | $174K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 3,656 | 3,571 | $161K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 2,648 | 2,575 | $110K |
114 more codes
| 92551 | <1% | 16,733 | $56K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,333 | $55K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,426 | $31K |
| 99173 | <1% | 17,095 | $28K | |
| 3008F | <1% | 65,717 | $26K | |
| D1120 | Dental cleaning, child | <1% | 2,717 | $23K |
| D1110 | Prophylaxis - adult | <1% | 2,071 | $21K |
| 81025 | <1% | 5,785 | $19K | |
| 99385 | <1% | 636 | $19K | |
| 90474 | <1% | 2,193 | $18K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,863 | $18K |
| 59430 | <1% | 258 | $17K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,368 | $13K |
| 99403 | <1% | 352 | $13K | |
| 0011A | <1% | 379 | $12K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,855 | $12K |
| 0001A | <1% | 306 | $11K | |
| 0012A | <1% | 351 | $11K | |
| 99401 | <1% | 1,198 | $10K | |
| 90686 | <1% | 5,075 | $10K | |
| 90682 | <1% | 559 | $10K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 12 | $10K |
| 99441 | <1% | 1,670 | $9K | |
| 0002A | <1% | 257 | $9K | |
| 0013A | <1% | 256 | $9K | |
| 81000 | <1% | 6,407 | $9K | |
| D0274 | Bitewings - four radiographic images | <1% | 2,064 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,303 | $7K |
| 99442 | <1% | 1,061 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,538 | $7K |
| 99386 | <1% | 165 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 575 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,025 | $6K |
| 94760 | <1% | 23,657 | $5K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 244 | $5K |
| 81002 | <1% | 8,101 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,699 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 674 | $4K |
| 99381 | <1% | 865 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 228 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 151 | $3K |
| 0003A | <1% | 83 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 163 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 419 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 845 | $2K |
| 0134A | <1% | 83 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 824 | $2K |
| 82947 | <1% | 2,623 | $2K | |
| 0031A | <1% | 41 | $2K | |
| D1351 | Sealant - per tooth | <1% | 206 | $1K |
| 81005 | <1% | 2,679 | $1K | |
| 90715 | <1% | 392 | $1K | |
| 0072A | <1% | 48 | $1K | |
| D0602 | <1% | 230 | $1K | |
| 96127 | <1% | 145 | $936.54 | |
| 99384 | <1% | 28 | $876.50 | |
| D0603 | <1% | 212 | $854.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 224 | $793.75 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 79 | $777.25 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,153 | $703.70 |
| D0180 | <1% | 45 | $630.00 | |
| 93270 | <1% | 64 | $583.09 | |
| 94010 | <1% | 59 | $582.96 | |
| 0071A | <1% | 20 | $575.00 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,232 | $533.21 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 44 | $499.30 |
| 90662 | <1% | 143 | $490.48 | |
| 86580 | <1% | 125 | $487.34 | |
| 97802 | <1% | 35 | $432.21 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 509 | $400.00 |
| D0272 | Bitewings - two radiographic images | <1% | 116 | $350.00 |
| 90671 | <1% | 860 | $326.97 | |
| 90732 | <1% | 14 | $273.00 | |
| 3074F | <1% | 6,584 | $185.00 | |
| G0467 | Community health center visit, returning patient | <1% | 1,540 | $161.33 |
| 3078F | <1% | 5,610 | $158.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,209 | $155.00 |
| 90461 | <1% | 19 | $149.18 | |
| 99383 | <1% | 58 | $132.40 | |
| 90716 | <1% | 159 | $90.00 | |
| 3079F | <1% | 2,777 | $82.00 | |
| 90619 | <1% | 191 | $60.41 | |
| 90670 | <1% | 1,442 | $59.00 | |
| 90651 | <1% | 408 | $51.05 | |
| 93000 | <1% | 14 | $45.54 | |
| D0170 | <1% | 13 | $36.00 | |
| 3077F | <1% | 1,004 | $30.00 | |
| 3075F | <1% | 844 | $26.00 | |
| 90698 | <1% | 829 | $22.00 | |
| 90697 | <1% | 94 | $20.11 | |
| 90633 | <1% | 437 | $18.00 | |
| 90620 | <1% | 103 | $15.03 | |
| 99188 | <1% | 744 | $15.00 | |
| 3080F | <1% | 413 | $12.00 | |
| 90677 | <1% | 41 | $4.24 | |
| 90681 | <1% | 250 | $4.01 | |
| 90744 | <1% | 235 | $4.00 | |
| 90710 | <1% | 256 | $4.00 | |
| 90696 | <1% | 34 | $3.00 | |
| 90680 | <1% | 263 | $3.00 | |
| 3044F | <1% | 317 | $3.00 | |
| 90707 | <1% | 58 | $2.00 | |
| 90734 | <1% | 71 | $2.00 | |
| 90648 | <1% | 15 | $1.00 | |
| 90673 | <1% | 40 | $0.38 | |
| 1000F | 0% | 533 | $0.00 | |
| 90632 | 0% | 286 | $0.00 | |
| 1036F | 0% | 13 | $0.00 | |
| 0503F | 0% | 60 | $0.00 | |
| D9995 | 0% | 12 | $0.00 | |
| 3725F | 0% | 2,429 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 478 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 762 | $0.00 |
| 3046F | 0% | 14 | $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 officialELLISTON, JASON (MEDICAL DIRECTOR)