Pappas Family Medical Center, LLC

Pappas Family Medical Center, LLC was paid $226K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoPAPPAS FAMILY MEDICAL CENTER, LLC
TOMS RIVER, NJ 08755

33aNPI1780915876assigned 01/29/2010

33bProvider typeFamily Medicine Physician

28Total paid$226K

24GClaims6,152

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#94 of 414

Median peer was paid$28K

This provider vs. median8.0×

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	1,853	$71K
2019	1,235	$52K
2020	791	$29K
2021	654	$23K
2022	699	$21K
2023	591	$16K
2024incomplete	329	$12K

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	70%	3,880	3,494	$157K
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	24%	1,051	972	$54K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.1%	387	387	$5K
90686		1.5%	215	215	$3K
92557		1.3%	121	121	$3K
90656		<1%	123	123	$2K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	15	14	$815.14
90674		<1%	36	36	$781.08
90658		<1%	14	14	$220.89
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	46	43	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	218	200	$0.00
G8482	Influenza immunization administered or previously received	0%	46	44	$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 officialPAPPAS, ELENA (OWNER)