Etheridge Family Medicine, L.L.C.

Etheridge Family Medicine, L.L.C. was paid $423K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoETHERIDGE FAMILY MEDICINE, L.L.C.
SOMERSET, NJ 08873

33aNPI1700954476assigned 12/01/2006

33bProvider typeFamily Medicine Physician

28Total paid$423K

24GClaims9,408

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#64 of 414

Median peer was paid$28K

This provider vs. median15×

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	968	$47K
2019	958	$45K
2020	1,328	$47K
2021	1,724	$63K
2022	1,629	$54K
2023	1,216	$68K
2024incomplete	1,585	$98K

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	80%	7,711	6,409	$337K
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	18%	1,347	1,288	$77K
93000		<1%	257	257	$4K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	32	32	$3K
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%	29	29	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	32	14	$221.86

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 officialETHERIDGE, BARBARA (PHYSICIAN)