Prohealth Urgent Care Medicine of New Jersey LLP

Prohealth Urgent Care Medicine of New Jersey LLP was paid $35.97M by Medicaid between Feb 2018 and Nov 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

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	114	$12K
2019	26	$320.00
2020	25,119	$2.75M
2021	69,365	$9.45M
2022	78,987	$9.47M
2023	75,662	$9.23M
2024incomplete	40,206	$5.06M

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	49%	138,010	128,098	$17.65M
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	17%	46,486	44,387	$5.99M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14%	41,945	40,876	$5.21M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	10%	28,439	26,331	$3.76M
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	6.3%	17,405	17,194	$2.28M
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.5%	7,424	7,211	$916K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	844	815	$98K
99201		<1%	300	300	$43K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	92	91	$13K
99205	Prolong outpt/office vis	<1%	53	53	$6K
10060		<1%	16	16	$2K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	559	484	$2K

28 more codes

0011A		<1%	91	$965.58
0012A		<1%	36	$823.31
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,538	$793.75
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	669	$783.45
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	1,031	$638.92
S9083	Global fee urgent care centers	<1%	835	$132.50
81003		<1%	1,344	$103.00
93000		0%	184	$0.00
91301		0%	64	$0.00
J0696	Injection, ceftriaxone sodium, per 250 mg	0%	117	$0.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	0%	292	$0.00
Q4049	Finger splint, static	0%	41	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	98	$0.00
J1885	Injection, ketorolac tromethamine, per 15 mg	0%	80	$0.00
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	0%	119	$0.00
36415	Collection of venous blood by venipuncture	0%	15	$0.00
73562		0%	80	$0.00
82947		0%	75	$0.00
73080		0%	12	$0.00
73610		0%	141	$0.00
73110		0%	78	$0.00
73140		0%	24	$0.00
73130		0%	99	$0.00
73030		0%	30	$0.00
71046	Radiologic examination, chest; 2 views	0%	119	$0.00
90714		0%	79	$0.00
81025		0%	453	$0.00
73630		0%	162	$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 officialPELLMAN, ELLIOTT (GENERAL PARTNER)