Clinic
Newark Community Health Centers, INC.
Newark Community Health Centers, INC. was paid $17.15M by Medicaid between Jan 2018 and Nov 2024, across 153 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoNEWARK COMMUNITY HEALTH CENTERS, INC.
NEWARK, NJ 07104
NEWARK, NJ 07104
33aNPI1740345693assigned 12/22/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$17.15M
24GClaims878,696
24DCodes billed153
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Jersey
Rank by total paid#1 of 98
Median peer was paid$758K
This provider vs. median23×
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 | 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 | |
| 2024incomplete | 128,510 | $1.72M |
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 | 27% | 214,656 | 185,679 | $4.71M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 22% | 25,664 | 20,751 | $3.72M |
| 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 | 12% | 56,182 | 48,606 | $2.03M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 17,903 | 17,042 | $803K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 13,021 | 12,286 | $622K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 40,907 | 37,468 | $602K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 47,472 | 45,622 | $526K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.8% | 6,879 | 5,211 | $489K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 12,319 | 11,601 | $432K |
| 3008F | 2.5% | 120,545 | 102,123 | $426K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 21,618 | 21,261 | $340K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 18,678 | 15,881 | $339K |
141 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 6,765 | $335K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 3,992 | $189K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 3,986 | $188K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,936 | $139K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,011 | $102K |
| 90461 | <1% | 8,348 | $102K | |
| 90656 | <1% | 16,707 | $100K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,134 | $96K |
| 97802 | <1% | 40,703 | $95K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,716 | $74K |
| 90651 | <1% | 2,353 | $73K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,895 | $54K |
| 92551 | <1% | 12,005 | $44K | |
| 90697 | <1% | 883 | $42K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,045 | $42K |
| 99173 | <1% | 16,922 | $33K | |
| 99441 | <1% | 2,525 | $22K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,354 | $21K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,037 | $21K |
| 90734 | <1% | 1,209 | $18K | |
| 90671 | <1% | 299 | $17K | |
| 90670 | <1% | 3,601 | $16K | |
| 88150 | <1% | 5,040 | $16K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,603 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,924 | $15K |
| 0012A | <1% | 447 | $15K | |
| 99385 | <1% | 386 | $15K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 9,673 | $14K |
| 92341 | <1% | 870 | $13K | |
| 92504 | <1% | 1,526 | $11K | |
| 0011A | <1% | 285 | $10K | |
| 99243 | <1% | 250 | $10K | |
| 90677 | <1% | 118 | $9K | |
| 92015 | Determination of refractive state | <1% | 2,400 | $8K |
| 92250 | <1% | 223 | $8K | |
| 87490 | <1% | 2,593 | $8K | |
| 90633 | <1% | 4,374 | $7K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 151 | $7K |
| 90686 | <1% | 1,499 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,154 | $6K |
| 90710 | <1% | 299 | $5K | |
| 82962 | <1% | 8,401 | $5K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 309 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 697 | $5K |
| 90694 | <1% | 271 | $4K | |
| 0013A | <1% | 106 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,961 | $4K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 213 | $3K |
| G0467 | Community health center visit, returning patient | <1% | 399 | $3K |
| 90716 | <1% | 732 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 924 | $3K |
| 90715 | <1% | 659 | $3K | |
| 81025 | <1% | 1,294 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,556 | $2K |
| 99406 | <1% | 653 | $2K | |
| 83655 | <1% | 1,502 | $2K | |
| 90655 | <1% | 844 | $2K | |
| 92552 | <1% | 340 | $2K | |
| 90474 | <1% | 223 | $2K | |
| 59430 | <1% | 26 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,510 | $2K |
| 99381 | <1% | 823 | $2K | |
| D1120 | Dental cleaning, child | <1% | 970 | $2K |
| D1110 | Prophylaxis - adult | <1% | 1,108 | $2K |
| 0001A | <1% | 47 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,059 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 54 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 763 | $1K |
| D9310 | <1% | 117 | $1K | |
| 99386 | <1% | 25 | $1K | |
| 90681 | <1% | 621 | $1K | |
| 90698 | <1% | 918 | $1K | |
| 88141 | <1% | 179 | $1K | |
| 90473 | <1% | 96 | $1K | |
| 99383 | <1% | 65 | $904.13 | |
| 11720 | <1% | 155 | $797.34 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,513 | $785.25 |
| 90620 | <1% | 218 | $780.00 | |
| 99384 | <1% | 34 | $772.99 | |
| 96127 | <1% | 755 | $716.07 | |
| 0002A | <1% | 17 | $680.00 | |
| 81000 | <1% | 598 | $644.20 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,072 | $618.85 |
| 87430 | <1% | 590 | $585.57 | |
| 81001 | <1% | 444 | $570.78 | |
| 87592 | <1% | 32 | $564.32 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 204 | $563.00 |
| 90696 | <1% | 91 | $485.72 | |
| 90680 | <1% | 741 | $447.75 | |
| 99177 | <1% | 280 | $438.94 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 601 | $426.00 |
| 90744 | <1% | 670 | $417.73 | |
| 90660 | <1% | 38 | $395.09 | |
| 87590 | <1% | 25 | $295.29 | |
| 90707 | <1% | 269 | $266.75 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 270 | $260.50 |
| D0140 | Limited oral evaluation - problem focused | <1% | 93 | $260.00 |
| 90658 | <1% | 13 | $224.03 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 574 | $201.00 |
| D1206 | Topical application of fluoride varnish | <1% | 170 | $183.00 |
| 91301 | <1% | 773 | $162.00 | |
| 3074F | <1% | 2,207 | $161.01 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 119 | $139.02 |
| 97803 | <1% | 13 | $138.58 | |
| 90713 | <1% | 170 | $117.03 | |
| 3078F | <1% | 1,633 | $115.01 | |
| 85018 | <1% | 83 | $92.62 | |
| 90700 | <1% | 156 | $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) | <1% | 65 | $79.35 |
| V2020 | Frames, purchases | <1% | 39 | $60.00 |
| 3046F | <1% | 2,007 | $54.00 | |
| 3044F | <1% | 2,145 | $53.00 | |
| 86580 | <1% | 25 | $52.32 | |
| 81002 | <1% | 58 | $51.17 | |
| 2000F | <1% | 19,624 | $32.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 17,315 | $16.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 8,173 | $16.00 |
| 3079F | <1% | 215 | $15.00 | |
| 99174 | <1% | 288 | $13.21 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 204 | $10.00 |
| 99442 | <1% | 13 | $9.86 | |
| 91300 | <1% | 112 | $8.00 | |
| 99000 | <1% | 887 | $6.21 | |
| 96161 | <1% | 31 | $5.25 | |
| 3077F | <1% | 85 | $2.00 | |
| 2023F | 0% | 32 | $0.00 | |
| 0001F | 0% | 3,583 | $0.00 | |
| D1330 | 0% | 712 | $0.00 | |
| 90647 | 0% | 14 | $0.00 | |
| D9995 | 0% | 145 | $0.00 | |
| 90723 | 0% | 26 | $0.00 | |
| 1000F | 0% | 31 | $0.00 | |
| 0503F | 0% | 15 | $0.00 | |
| 3061F | 0% | 32 | $0.00 | |
| 2022F | 0% | 72 | $0.00 | |
| 99382 | 0% | 25 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 187 | $0.00 |
| D0191 | 0% | 248 | $0.00 | |
| 90648 | 0% | 82 | $0.00 | |
| 0502F | 0% | 22 | $0.00 | |
| D0330 | Panoramic radiographic image | 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 officialCLARKE, PAMELA (PRESIDENT & CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.