Physician
Community Health Care, INC.
Community Health Care, INC. was paid $1.22M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CARE, INC.
WILDWOOD, NJ 08260
WILDWOOD, NJ 08260
33aNPI1730527805assigned 06/11/2013
33bProvider typeGeneral Practice Physician
28Total paid$1.22M
24GClaims16,902
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in New Jersey
Rank by total paid#3 of 35
Median peer was paid$17K
This provider vs. median73×
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 | 6,124 | $318K | |
| 2019 | 2,775 | $243K | |
| 2020 | 3,572 | $310K | |
| 2021 | 1,708 | $180K | |
| 2022 | 1,029 | $54K | |
| 2023 | 541 | $20K | |
| 2024incomplete | 1,153 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 86% | 6,198 | 4,989 | $1.06M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 1,227 | 997 | $121K |
| D0140 | Limited oral evaluation - problem focused | <1% | 347 | 333 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 170 | 170 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 117 | 101 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 220 | 220 | $3K |
| D1110 | Prophylaxis - adult | <1% | 168 | 168 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 92 | 81 | $3K |
| D2140 | <1% | 82 | 66 | $3K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 66 | 60 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 92 | 92 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 295 | 295 | $2K |
27 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 58 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 213 | $2K |
| D1351 | Sealant - per tooth | <1% | 198 | $2K |
| D4355 | <1% | 25 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 483 | $1K |
| D0330 | Panoramic radiographic image | <1% | 68 | $866.25 |
| D2335 | <1% | 15 | $810.00 | |
| D2330 | <1% | 22 | $781.00 | |
| D2331 | <1% | 14 | $595.00 | |
| D4346 | <1% | 15 | $525.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 86 | $430.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 101 | $407.00 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $210.00 |
| D1206 | Topical application of fluoride varnish | <1% | 13 | $195.00 |
| D2940 | <1% | 13 | $78.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 2,005 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 205 | $0.00 |
| D1999 | 0% | 57 | $0.00 | |
| 99173 | 0% | 14 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 81 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 2,291 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 1,004 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 102 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 25 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 681 | $0.00 |
| 92551 | 0% | 12 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | $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 (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Community Health Care, INC. | Bridgeton, NJ | $16.47M |
| 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. | 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.