Clinic
Community Health Care, INC.
Community Health Care, INC. was paid $16.47M by Medicaid between Jan 2018 and Dec 2024, across 138 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CARE, INC.
BRIDGETON, NJ 08302
BRIDGETON, NJ 08302
33aNPI1700816816assigned 07/04/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$16.47M
24GClaims920,385
24DCodes billed138
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#2 of 98
Median peer was paid$758K
This provider vs. median22×
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 EDWARDS, JAMES controls 16+ related entities in our dataset. Read more
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 | 110,687 | $2.28M | |
| 2019 | 148,621 | $2.45M | |
| 2020 | 99,891 | $1.81M | |
| 2021 | 97,176 | $1.96M | |
| 2022 | 159,586 | $2.59M | |
| 2023 | 174,312 | $2.88M | |
| 2024incomplete | 130,112 | $2.50M |
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 | 23% | 218,123 | 200,501 | $3.85M |
| 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 | 15% | 116,155 | 109,678 | $2.46M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 8.8% | 8,826 | 4,758 | $1.45M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 8.3% | 1,919 | 1,887 | $1.36M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 57,013 | 51,330 | $754K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 13,727 | 13,475 | $471K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 12,409 | 11,995 | $423K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 37,803 | 37,160 | $406K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 10,597 | 10,279 | $346K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 17,517 | 17,318 | $316K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.8% | 23,846 | 23,552 | $294K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 13,623 | 12,937 | $290K |
126 more codes
| 59426 | 1.6% | 6,022 | $271K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 7,298 | $251K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 19,434 | $211K |
| 90677 | 1.2% | 1,121 | $204K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 11,451 | $182K |
| D1110 | Prophylaxis - adult | 1.1% | 13,533 | $181K |
| D1351 | Sealant - per tooth | 1.1% | 18,996 | $180K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.1% | 12,570 | $179K |
| D1120 | Dental cleaning, child | 1.0% | 15,129 | $168K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14,064 | $115K |
| D0274 | Bitewings - four radiographic images | <1% | 19,962 | $107K |
| 99460 | <1% | 2,123 | $96K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,223 | $96K |
| 90619 | <1% | 762 | $90K | |
| 98942 | <1% | 18,003 | $88K | |
| 90461 | <1% | 5,016 | $86K | |
| 92551 | <1% | 17,677 | $65K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 3,094 | $64K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,748 | $63K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,678 | $62K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,294 | $60K |
| D0330 | Panoramic radiographic image | <1% | 8,407 | $60K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,215 | $57K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 22,197 | $56K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 4,647 | $54K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,890 | $51K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,171 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,738 | $48K |
| 90651 | <1% | 1,202 | $48K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,573 | $41K |
| D2140 | <1% | 1,478 | $39K | |
| 59425 | <1% | 785 | $39K | |
| 90686 | <1% | 10,054 | $38K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 1,151 | $36K |
| D4346 | <1% | 1,343 | $35K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,616 | $34K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 2,308 | $33K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,078 | $31K |
| 59514 | <1% | 38 | $30K | |
| 99223 | Prolong inpt eval add15 m | <1% | 1,157 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 21,727 | $28K |
| 88142 | <1% | 1,177 | $28K | |
| 90697 | <1% | 225 | $27K | |
| D4355 | <1% | 502 | $23K | |
| 90715 | <1% | 1,135 | $22K | |
| 90670 | <1% | 2,420 | $19K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,338 | $16K |
| 90734 | <1% | 728 | $15K | |
| 90688 | <1% | 1,170 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 277 | $13K |
| D0272 | Bitewings - two radiographic images | <1% | 3,243 | $12K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 5,788 | $12K |
| D2330 | <1% | 301 | $9K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,030 | $9K |
| D2331 | <1% | 239 | $9K | |
| 99201 | <1% | 280 | $8K | |
| 81025 | <1% | 2,651 | $8K | |
| 90710 | <1% | 587 | $7K | |
| 99462 | <1% | 1,589 | $7K | |
| 83037 | <1% | 3,501 | $7K | |
| 90620 | <1% | 158 | $6K | |
| 82962 | <1% | 11,240 | $6K | |
| 11721 | <1% | 1,109 | $5K | |
| 59430 | <1% | 151 | $5K | |
| 90863 | <1% | 3,402 | $5K | |
| D2335 | <1% | 102 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,953 | $5K |
| 90633 | <1% | 2,489 | $5K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 257 | $5K |
| 99221 | <1% | 204 | $4K | |
| 87590 | <1% | 4,364 | $4K | |
| 90716 | <1% | 388 | $4K | |
| 87490 | <1% | 4,359 | $4K | |
| 99173 | <1% | 5,422 | $4K | |
| 97014 | <1% | 6,668 | $4K | |
| 90656 | <1% | 845 | $3K | |
| 90474 | <1% | 289 | $3K | |
| 99217 | <1% | 623 | $3K | |
| 90680 | <1% | 1,604 | $3K | |
| 59025 | Fetal non-stress test | <1% | 112 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 173 | $2K |
| 90707 | <1% | 264 | $2K | |
| 99383 | <1% | 47 | $2K | |
| 99381 | <1% | 63 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 176 | $2K |
| 90687 | <1% | 171 | $2K | |
| 90723 | <1% | 323 | $2K | |
| 90746 | <1% | 25 | $1K | |
| 99219 | <1% | 221 | $1K | |
| D5110 | <1% | 25 | $1K | |
| 81002 | <1% | 2,540 | $1K | |
| 90632 | <1% | 16 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 154 | $1K |
| 90647 | <1% | 896 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 25 | $996.21 |
| D2940 | <1% | 114 | $942.00 | |
| 90732 | <1% | 13 | $935.76 | |
| 85018 | <1% | 489 | $885.65 | |
| 90473 | <1% | 80 | $850.59 | |
| 90696 | <1% | 151 | $837.35 | |
| 90700 | <1% | 448 | $793.60 | |
| 90698 | <1% | 1,020 | $774.78 | |
| 99382 | <1% | 15 | $754.04 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 40 | $579.40 |
| 90744 | <1% | 296 | $328.48 | |
| 99235 | <1% | 16 | $326.13 | |
| 98940 | <1% | 127 | $262.03 | |
| 99225 | <1% | 36 | $253.32 | |
| 90713 | <1% | 41 | $194.93 | |
| 99220 | <1% | 29 | $124.92 | |
| G0467 | Community health center visit, returning patient | <1% | 1,555 | $123.81 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 12 | $120.00 |
| 99441 | <1% | 156 | $113.88 | |
| 99442 | <1% | 49 | $104.76 | |
| D1353 | <1% | 55 | $100.00 | |
| 97032 | <1% | 285 | $100.00 | |
| 87210 | <1% | 16 | $36.00 | |
| 86701 | <1% | 58 | $31.56 | |
| G0008 | Administration of influenza virus vaccine | 0% | 25 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 138 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 14 | $0.00 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 28 | $0.00 |
| D0431 | 0% | 11,753 | $0.00 | |
| D1999 | 0% | 1,732 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 12 | $0.00 |
| 99490 | Ccm add 20min | 0% | 12 | $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 officialEDWARDS, JAMES (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Brick Board of Education | Brick, NJ | $12.20M |
| Community Health Care, INC. | Vineland, NJ | $3.81M |
| Retirement at Century Pines INC. | Ozark, MO | $3.75M |
| Community Health Care, INC. | Millville, NJ | $3.41M |
| Community Health Care, INC. | Glassboro, NJ | $1.77M |
| Community Health Care, INC. | Bridgeton, NJ | $1.31M |
| Community Health Care, INC. | Wildwood, NJ | $1.22M |
| Community Health Care, INC. | Vineland, NJ | $838K |
| Community Health Care, INC. | Cape May Court House, NJ | $714K |
| Community Health Care, INC. | Bridgeton, NJ | $666K |
| Community Health Care, INC. | Vineland, NJ | $634K |
| Community Health Care, INC. | Glassboro, NJ | $457K |
| Community Health Care, INC. | Vineland, NJ | $310K |
| Community Health Care, INC. | Woodbury, NJ | $86K |
| Eye Medical & Surgical Assoc INC. | Parma, OH | $64K |
| Community Health Care, INC. | Bridgeton, NJ | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.