Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Advanced General Medicine

Advanced General Medicine was paid $380K by Medicaid between Jul 2022 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoADVANCED GENERAL MEDICINE
ELIZABETH, NJ 07201
33aNPI1609524941assigned 03/15/2022
28Total paid$380K
24GClaims54,966
24DCodes billed63
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers

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

Rank by total paid#28 of 130
Median peer was paid$86K
This provider vs. median4.4×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20222,082$5K
202317,636$138K
2024incomplete35,248$236K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 2,258 1,829 $117K
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 30% 1,620 1,309 $112K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.9% 542 491 $38K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 7.4% 349 315 $28K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5.4% 261 228 $20K
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 4.6% 190 177 $18K
99490 Ccm add 20min 2.9% 414 363 $11K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1.7% 837 675 $6K
36415 Collection of venous blood by venipuncture 1.5% 1,899 1,646 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 104 97 $4K
G0444 Annual depression screening, 5 to 15 minutes <1% 315 269 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 265 214 $2K
51 more codes
93000 <1% 274 $2K
H0001 Alcohol and/or drug assessment <1% 2,070 $2K
90686 <1% 194 $2K
93923 <1% 26 $2K
90656 <1% 92 $1K
96132 <1% 27 $954.28
99173 <1% 888 $911.50
99397 <1% 29 $692.13
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 19 $620.70
96127 <1% 600 $483.19
82962 <1% 610 $323.71
96138 <1% 14 $214.56
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 2,070 $204.00
82947 <1% 72 $148.68
3074F <1% 2,724 $105.23
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 15 $98.23
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes <1% 17 $96.24
99406 <1% 19 $93.78
3078F <1% 2,571 $90.23
3008F <1% 1,617 $69.00
G9820 Documentation of a chlamydia screening test with proper follow-up <1% 335 $54.00
1159F <1% 3,920 $49.03
1160F <1% 3,916 $49.03
3079F <1% 738 $37.06
81003 <1% 42 $25.44
3075F <1% 438 $16.05
99072 <1% 1,029 $15.75
1126F <1% 109 $9.00
3077F <1% 367 $6.02
3080F <1% 237 $5.03
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 36 $0.11
3044F <1% 136 $0.02
1036F 0% 2,037 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,701 $0.00
2001F 0% 3,433 $0.00
1000F 0% 1,577 $0.00
3017F 0% 40 $0.00
2000F 0% 4,254 $0.00
3514F 0% 273 $0.00
2010F 0% 2,479 $0.00
3292F 0% 250 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 40 $0.00
3049F 0% 15 $0.00
93040 0% 15 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 151 $0.00
3016F 0% 1,771 $0.00
3725F 0% 2,099 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 133 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 309 $0.00
3050F 0% 39 $0.00
2028F 0% 45 $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 officialVASQUEZ DURAN, RAUL (OWNER)