Community Medical Care LLC

Community Medical Care LLC was paid $492K by Medicaid between Nov 2018 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoCOMMUNITY MEDICAL CARE LLC
ELIZABETH, NJ 07208

33aNPI1649356577assigned 10/31/2006

33bProvider typeFamily Medicine Physician

28Total paid$492K

24GClaims17,562

24DCodes billed26

24AFirst – last monthNov 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#52 of 414

Median peer was paid$28K

This provider vs. median17×

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	15	$402.00
2019	30	$1K
2020	2,204	$53K
2021	4,559	$146K
2022	4,615	$130K
2023	3,806	$103K
2024incomplete	2,333	$58K

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	58%	9,310	7,379	$284K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	18%	2,343	2,119	$88K
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	12%	1,659	1,540	$61K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.7%	639	625	$33K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.6%	1,386	1,204	$8K
86328		<1%	161	155	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	358	338	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	214	205	$2K
90746		<1%	29	29	$1K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	208	200	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	27	27	$1K
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	<1%	13	13	$1K

14 more codes

J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	430	$655.85
90688		<1%	25	$494.00
99385		<1%	12	$474.60
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	14	$440.24
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	489	$364.58
90686		<1%	14	$200.54
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	15	$173.90
99401		<1%	13	$90.04
G0444	Annual depression screening, 5 to 15 minutes	<1%	19	$55.62
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	41	$39.24
91300		<1%	39	$9.00
99072		0%	69	$0.00
3078F		0%	13	$0.00
3074F		0%	22	$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 officialRAKLER, EDWARD (MANAGING PARTNER)