Broadway Family Practice PC
Broadway Family Practice PC was paid $923.75 by Medicaid between Oct 2019 and Oct 2019, across 5 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 75% of everything it billed.
33Billing provider infoBROADWAY FAMILY PRACTICE PC
PLEASANTVILLE, NJ 08232
PLEASANTVILLE, NJ 08232
33aNPI1780624031assigned 06/07/2006
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$923.75
24GClaims110
24DCodes billed5
24AFirst – last monthOct 2019 – Oct 2019
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in New Jersey
Rank by total paid#163 of 210
Median peer was paid$13K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 110 | $923.75 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 75% | 42 | 40 | $690.00 |
| 90461 | 17% | 14 | 14 | $155.00 | |
| 97802 | 8.5% | 13 | 13 | $78.75 | |
| 3008F | 0% | 21 | 21 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 20 | 20 | $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 officialREGIS, JON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Reliance Medical Group LLC | Northfield, NJ | $9.39M |
| Act on Total Health Medical Group, LLC | Northfield, NJ | $775K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.