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

Sussex Community Urgent Care a PC

Sussex Community Urgent Care a PC was paid $9K by Medicaid between Jan 2018 and Sep 2018, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 73% of everything it billed.

33Billing provider infoSUSSEX COMMUNITY URGENT CARE A PC
SUSSEX, NJ 07461
33aNPI1679005110assigned 04/03/2017
28Total paid$9K
24GClaims297
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#680 of 1,027
Median peer was paid$30K
This provider vs. median0.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DOAN, CHRISTOPHER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
2018297$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 73% 169 169 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 73 67 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6.1% 42 42 $517.91
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 13 13 $90.43

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 officialDOAN, CHRISTOPHER (CHIEF COMPLIANCE OFFICER)
Parent organizationPRIME HEALTHCARE SERVICES - SAINT CLARES LLC
Same official

Other billing entities under DOAN, CHRISTOPHER

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.