Clinic
Zufall Health Center, INC
Zufall Health Center, INC was paid $10.59M by Medicaid between Jan 2018 and Dec 2024, across 135 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoZUFALL HEALTH CENTER, INC
DOVER, NJ 07801
DOVER, NJ 07801
33aNPI1548515091assigned 07/20/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.59M
24GClaims313,505
24DCodes billed135
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#6 of 98
Median peer was paid$758K
This provider vs. median14×
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 | 42,739 | $1.29M | |
| 2019 | 34,720 | $1.20M | |
| 2020 | 42,173 | $1.43M | |
| 2021 | 44,874 | $1.53M | |
| 2022 | 46,243 | $1.12M | |
| 2023 | 52,380 | $1.82M | |
| 2024incomplete | 50,376 | $2.20M |
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 | 63% | 34,390 | 23,590 | $6.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 105,755 | 95,910 | $2.01M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 22,836 | 22,344 | $500K |
| 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 | 2.3% | 12,131 | 11,567 | $244K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 3,659 | 3,630 | $142K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 2,261 | 2,254 | $109K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,417 | 3,107 | $88K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,330 | 3,233 | $84K |
| 90686 | <1% | 10,942 | 10,750 | $82K | |
| 90461 | <1% | 4,468 | 4,339 | $74K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,370 | 1,351 | $71K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,520 | 2,416 | $40K |
123 more codes
| 0012A | <1% | 1,210 | $40K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,308 | $36K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,071 | $36K |
| 92551 | <1% | 8,283 | $32K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,273 | $30K |
| 0011A | <1% | 1,208 | $28K | |
| 90677 | <1% | 547 | $23K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 533 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,594 | $17K |
| 82947 | <1% | 7,987 | $16K | |
| 0064A | <1% | 500 | $16K | |
| 0002A | <1% | 343 | $13K | |
| 0071A | <1% | 307 | $12K | |
| 90651 | <1% | 343 | $11K | |
| 97803 | <1% | 446 | $10K | |
| 0072A | <1% | 264 | $10K | |
| 0001A | <1% | 290 | $10K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 300 | $9K |
| 90671 | <1% | 185 | $9K | |
| 0004A | <1% | 245 | $9K | |
| 99173 | <1% | 10,175 | $8K | |
| 99441 | <1% | 1,282 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,049 | $6K |
| 97802 | <1% | 1,491 | $6K | |
| 90656 | <1% | 1,064 | $6K | |
| 99442 | <1% | 532 | $5K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 479 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,232 | $5K |
| 90670 | <1% | 951 | $4K | |
| 90480 | <1% | 156 | $4K | |
| 0134A | <1% | 122 | $3K | |
| 0124A | <1% | 112 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 106 | $3K |
| 0013A | <1% | 84 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 282 | $3K |
| D1120 | Dental cleaning, child | <1% | 200 | $3K |
| 0031A | <1% | 68 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 698 | $3K |
| 90697 | <1% | 256 | $2K | |
| 99384 | <1% | 111 | $2K | |
| 90750 | <1% | 12 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 78 | $2K |
| 99383 | <1% | 168 | $2K | |
| 81025 | <1% | 767 | $2K | |
| 99382 | <1% | 43 | $1K | |
| D0603 | <1% | 136 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 14,031 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 29 | $1K |
| 90734 | <1% | 75 | $972.22 | |
| 59430 | <1% | 16 | $914.12 | |
| 90633 | <1% | 741 | $745.85 | |
| 99606 | <1% | 104 | $740.22 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 27 | $621.00 |
| 80305 | <1% | 108 | $595.60 | |
| 81002 | <1% | 3,687 | $535.46 | |
| 99174 | <1% | 84 | $526.08 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,250 | $523.58 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 123 | $461.25 |
| D1110 | Prophylaxis - adult | <1% | 26 | $442.00 |
| 11721 | <1% | 53 | $434.64 | |
| D1351 | Sealant - per tooth | <1% | 39 | $390.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 191 | $371.40 |
| 99381 | <1% | 1,067 | $342.24 | |
| 90661 | <1% | 72 | $321.23 | |
| 99401 | <1% | 783 | $303.86 | |
| 96127 | <1% | 136 | $260.25 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 18 | $252.00 |
| 85018 | <1% | 215 | $241.05 | |
| 90681 | <1% | 94 | $240.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $234.05 |
| 90698 | <1% | 178 | $213.68 | |
| G0467 | Community health center visit, returning patient | <1% | 784 | $193.94 |
| 90723 | <1% | 12 | $180.10 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 55 | $167.75 |
| 93000 | <1% | 51 | $165.77 | |
| 90715 | <1% | 188 | $143.49 | |
| 92134 | <1% | 13 | $143.12 | |
| 99000 | <1% | 3,668 | $127.88 | |
| 81003 | <1% | 263 | $121.05 | |
| 99078 | <1% | 42 | $112.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $88.40 |
| 92015 | Determination of refractive state | <1% | 29 | $86.40 |
| 99607 | <1% | 13 | $72.20 | |
| 3074F | <1% | 1,229 | $63.75 | |
| 92145 | <1% | 51 | $55.81 | |
| 91301 | <1% | 2,818 | $16.94 | |
| 87420 | <1% | 25 | $6.96 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 2,911 | $0.00 |
| 91307 | 0% | 704 | $0.00 | |
| 3079F | 0% | 160 | $0.00 | |
| 86580 | 0% | 123 | $0.00 | |
| 90716 | 0% | 175 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 56 | $0.00 |
| 91306 | 0% | 501 | $0.00 | |
| 91303 | 0% | 77 | $0.00 | |
| 36416 | 0% | 166 | $0.00 | |
| 90744 | 0% | 81 | $0.00 | |
| 0503F | 0% | 19 | $0.00 | |
| 90680 | 0% | 24 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 69 | $0.00 |
| 96380 | 0% | 31 | $0.00 | |
| 92250 | 0% | 12 | $0.00 | |
| 90657 | 0% | 12 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 4551F | 0% | 3,515 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 1,011 | $0.00 |
| 3725F | 0% | 2,049 | $0.00 | |
| 0502F | 0% | 415 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 133 | $0.00 |
| 3078F | 0% | 1,037 | $0.00 | |
| 91312 | 0% | 112 | $0.00 | |
| 99408 | 0% | 16 | $0.00 | |
| 99499 | 0% | 31 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 153 | $0.00 |
| 91313 | 0% | 123 | $0.00 | |
| 90713 | 0% | 59 | $0.00 | |
| 91300 | 0% | 1,119 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 3077F | 0% | 35 | $0.00 | |
| 91322 | 0% | 64 | $0.00 | |
| 90710 | 0% | 53 | $0.00 | |
| 91308 | 0% | 28 | $0.00 | |
| 90707 | 0% | 24 | $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 officialBEBEL, PETER (CFO)
| Provider | Location | Paid |
|---|---|---|
| Zufall Health Center,inc | Morristown, NJ | $796K |
| Zufall Health Center, INC | Dover, NJ | $197K |
| Zufall Health Center,inc | Dover, NJ | $60K |
| Zufall Health Center, INC | Hackettstown, NJ | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.