Physician
Elmwood Family Physicians
Elmwood Family Physicians was paid $689K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.
33Billing provider infoELMWOOD FAMILY PHYSICIANS
MARLTON, NJ 08053
MARLTON, NJ 08053
33aNPI1578640538assigned 11/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$689K
24GClaims17,606
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#39 of 414
Median peer was paid$28K
This provider vs. median24×
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 | 3,010 | $128K | |
| 2019 | 2,734 | $102K | |
| 2020 | 2,164 | $92K | |
| 2021 | 2,448 | $104K | |
| 2022 | 3,097 | $138K | |
| 2023 | 2,876 | $87K | |
| 2024incomplete | 1,277 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 79% | 10,728 | 9,510 | $547K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 2,249 | 2,028 | $90K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.7% | 2,155 | 2,054 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 314 | 305 | $3K |
| 90674 | <1% | 148 | 143 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 910 | 883 | $2K |
| 90756 | <1% | 64 | 64 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 106 | 103 | $1K |
| 90688 | <1% | 47 | 47 | $732.58 | |
| 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% | 201 | 175 | $584.24 |
| 90686 | <1% | 40 | 40 | $555.46 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 48 | 42 | $94.91 |
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 officialSHAH, HETAL (OWNER/M.D.)
| Provider | Location | Paid |
|---|---|---|
| Hetal C. Shah, M.D., P.C. | Phoenix, AZ | $6.41M |
| Arizona Medical Group | Phoenix, AZ | $7K |
| Health First Pharmacy Corp | Framingham, MA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.