Clinic
Atlanticare Health Services, INC.
Atlanticare Health Services, INC. was paid $7.18M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoATLANTICARE HEALTH SERVICES, INC.
ATLANTIC CITY, NJ 08401
ATLANTIC CITY, NJ 08401
33aNPI1760527782assigned 02/20/2007
33bProvider typeClinic/Center
28Total paid$7.18M
24GClaims128,599
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in New Jersey
Rank by total paid#7 of 97
Median peer was paid$318K
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 | 10,523 | $511K | |
| 2019 | 12,092 | $611K | |
| 2020 | 13,522 | $575K | |
| 2021 | 17,486 | $1.08M | |
| 2022 | 21,110 | $940K | |
| 2023 | 30,066 | $1.77M | |
| 2024incomplete | 23,800 | $1.69M |
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 | 75% | 27,784 | 19,781 | $5.37M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 46,785 | 43,293 | $1.13M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 7,580 | 7,121 | $184K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 1.5% | 2,377 | 1,010 | $106K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 2,561 | 2,534 | $84K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 2,520 | 2,472 | $81K |
| 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 | 1.1% | 9,577 | 8,641 | $81K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,780 | 1,772 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,026 | 1,010 | $31K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,078 | 1,053 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 307 | 306 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,043 | 995 | $10K |
34 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 8,743 | $10K |
| 90461 | <1% | 272 | $5K | |
| 90686 | <1% | 1,148 | $5K | |
| 90677 | <1% | 73 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 117 | $4K |
| 0031A | <1% | 92 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,261 | $1K |
| 0011A | <1% | 80 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 36 | $1K |
| 99442 | <1% | 704 | $996.88 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 69 | $980.40 |
| 90474 | <1% | 100 | $963.48 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 66 | $893.98 |
| G0467 | Community health center visit, returning patient | <1% | 4,459 | $857.07 |
| 0012A | <1% | 24 | $762.88 | |
| 99383 | <1% | 15 | $594.13 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,277 | $448.77 |
| 90651 | <1% | 12 | $268.02 | |
| 99381 | <1% | 26 | $239.15 | |
| 90670 | <1% | 240 | $226.43 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 136 | $187.96 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,384 | $164.50 |
| 90681 | <1% | 101 | $134.72 | |
| 99441 | <1% | 106 | $110.96 | |
| 90633 | <1% | 88 | $73.84 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 805 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| 90710 | 0% | 13 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 23 | $0.00 |
| 90744 | 0% | 71 | $0.00 | |
| 99443 | 0% | 524 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 27 | $0.00 |
| 90698 | 0% | 64 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 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 officialFESTA, SANDY (EXEC DIR FQHC)
Parent organizationATLANTICARE HEALTH SERVICES, INC.
| Provider | Location | Paid |
|---|---|---|
| Atlanticare Health Services INC. | Galloway, NJ | $160K |
| Atlanticare Health Services, INC. | Atlantic City, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.