Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › NEWARK › NEWARK COMMUNITY HEALTH CENTERS, INC.

NEWARK COMMUNITY HEALTH CENTERS, INC.

NPI: 1740345693 · NEWARK, NJ 07104 · Federally Qualified Health Center (FQHC) · NPI assigned 12/22/2006

$17.15M
Total Medicaid Paid
878,696
Total Claims
773,719
Beneficiaries
153
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCLARKE, PAMELA (PRESIDENT & CEO)
NPI Enumeration Date12/22/2006

Related Entities

Other providers sharing the same authorized official: CLARKE, PAMELA

ProviderCityStateTotal Paid
NEWARK COMMUNITY HEALTH CENTERS,INC. EAST ORANGE NJ $2.16M
NEWARK COMMUNITY HEALTH CENTERS, INC. NEWARK NJ $1.91M
NEWARK COMMUNITY HEALTH CENTERS INC IRVINGTON NJ $1.39M
NEWARK COMMUNITY HEALTH CENTERS INC. ORANGE NJ $290K
NEWARK COMMUNITY HEALTH CENTERS, INC NEWARK NJ $249K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 120,151 $2.98M
2019 127,171 $3.18M
2020 94,505 $2.39M
2021 102,502 $2.42M
2022 130,277 $2.16M
2023 175,580 $2.30M
2024 128,510 $1.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 214,656 185,679 $4.71M
T1015 Clinic visit/encounter, all-inclusive 25,664 20,751 $3.72M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 56,182 48,606 $2.03M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,903 17,042 $803K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13,021 12,286 $622K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 40,907 37,468 $602K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 47,472 45,622 $526K
D0120 Periodic oral evaluation - established patient 6,879 5,211 $489K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,319 11,601 $432K
3008F 120,545 102,123 $426K
90472 Immunization administration, each additional vaccine (list separately) 21,618 21,261 $340K
90460 Immunization administration through 18 years of age via any route, first or only component 18,678 15,881 $339K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,765 6,357 $335K
99215 Prolong outpt/office vis 3,992 3,456 $189K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,986 3,758 $188K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,936 2,681 $139K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,011 2,850 $102K
90461 8,348 6,974 $102K
90656 16,707 15,033 $100K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,134 3,099 $96K
97802 40,703 37,385 $95K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,716 1,711 $74K
90651 2,353 1,953 $73K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,895 4,082 $54K
92551 12,005 11,129 $44K
90697 883 783 $42K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,045 1,044 $42K
99173 16,922 15,659 $33K
99441 2,525 2,107 $22K
92340 Fitting of spectacles, except for aphakia; monofocal 1,354 1,351 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,037 4,367 $21K
90734 1,209 1,006 $18K
90671 299 230 $17K
90670 3,601 3,272 $16K
88150 5,040 4,654 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,603 1,406 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,924 1,623 $15K
0012A 447 446 $15K
99385 386 370 $15K
83036 Hemoglobin; glycosylated (A1C) 9,673 8,256 $14K
92341 870 870 $13K
92504 1,526 1,520 $11K
0011A 285 282 $10K
99243 250 240 $10K
90677 118 96 $9K
92015 Determination of refractive state 2,400 2,397 $8K
92250 223 218 $8K
87490 2,593 2,351 $8K
90633 4,374 3,766 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 151 143 $7K
90686 1,499 1,498 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,154 898 $6K
90710 299 276 $5K
82962 8,401 6,904 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 309 308 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 697 642 $5K
90694 271 227 $4K
0013A 106 106 $4K
90834 Psychotherapy, 45 minutes with patient 1,961 1,366 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 213 212 $3K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 399 332 $3K
90716 732 603 $3K
90832 Psychotherapy, 30 minutes with patient 924 884 $3K
90715 659 571 $3K
81025 1,294 1,136 $3K
D0150 Comprehensive oral evaluation - new or established patient 1,556 1,540 $2K
99406 653 619 $2K
83655 1,502 1,304 $2K
90655 844 802 $2K
92552 340 340 $2K
90474 223 223 $2K
59430 26 26 $2K
D0220 Intraoral - periapical first radiographic image 3,510 3,468 $2K
99381 823 792 $2K
D1120 Prophylaxis - child 970 963 $2K
D1110 Prophylaxis - adult 1,108 1,095 $2K
0001A 47 45 $2K
90791 Psychiatric diagnostic evaluation 1,059 1,049 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 54 49 $2K
D0274 Bitewings - four radiographic images 763 757 $1K
D9310 117 114 $1K
99386 25 24 $1K
90681 621 526 $1K
90698 918 870 $1K
88141 179 162 $1K
90473 96 96 $1K
99383 65 65 $904.13
11720 155 155 $797.34
D0230 Intraoral - periapical each additional radiographic image 2,513 2,225 $785.25
90620 218 191 $780.00
99384 34 34 $772.99
96127 755 645 $716.07
0002A 17 17 $680.00
81000 598 482 $644.20
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,072 2,018 $618.85
87430 590 487 $585.57
81001 444 427 $570.78
87592 32 32 $564.32
D1208 Topical application of fluoride, excluding varnish 204 204 $563.00
90696 91 82 $485.72
90680 741 651 $447.75
99177 280 228 $438.94
H1001 Prenatal care, at-risk enhanced service; antepartum management 601 483 $426.00
90744 670 644 $417.73
90660 38 36 $395.09
87590 25 25 $295.29
90707 269 222 $266.75
D0210 Intraoral - complete series of radiographic images 270 265 $260.50
D0140 Limited oral evaluation - problem focused 93 91 $260.00
90658 13 12 $224.03
H1000 Prenatal care, at-risk assessment 574 428 $201.00
D1206 Topical application of fluoride varnish 170 169 $183.00
91301 773 757 $162.00
3074F 2,207 1,654 $161.01
36415 Collection of venous blood by venipuncture 119 113 $139.02
97803 13 13 $138.58
90713 170 151 $117.03
3078F 1,633 1,285 $115.01
85018 83 79 $92.62
90700 156 124 $89.71
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 65 62 $79.35
V2020 Frames, purchases 39 39 $60.00
3046F 2,007 1,652 $54.00
3044F 2,145 1,771 $53.00
86580 25 12 $52.32
81002 58 55 $51.17
2000F 19,624 15,319 $32.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 17,315 14,489 $16.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 8,173 6,508 $16.00
3079F 215 181 $15.00
99174 288 216 $13.21
J1050 Injection, medroxyprogesterone acetate, 1 mg 204 167 $10.00
99442 13 13 $9.86
91300 112 104 $8.00
99000 887 790 $6.21
96161 31 26 $5.25
3077F 85 59 $2.00
2023F 32 32 $0.00
0001F 3,583 2,929 $0.00
D1330 712 670 $0.00
90647 14 14 $0.00
D9995 145 144 $0.00
90723 26 26 $0.00
1000F 31 29 $0.00
0503F 15 14 $0.00
3061F 32 27 $0.00
2022F 72 67 $0.00
99382 25 25 $0.00
90837 Psychotherapy, 53 minutes with patient 187 165 $0.00
D0191 248 247 $0.00
90648 82 64 $0.00
0502F 22 13 $0.00
D0330 Panoramic radiographic image 13 13 $0.00