Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › NEWARK › JEWISH RENAISSANCE MEDICAL CENTER, INC.

JEWISH RENAISSANCE MEDICAL CENTER, INC.

NPI: 1811109572 · NEWARK, NJ 07104 · Federally Qualified Health Center (FQHC) · NPI assigned 05/04/2007

$5K
Total Medicaid Paid
47
Total Claims
39
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialROBERTS, MARK (CEO)
NPI Enumeration Date05/04/2007

Related Entities

Other providers sharing the same authorized official: ROBERTS, MARK

ProviderCityStateTotal Paid
MDR PHYSICAL THERAPY INC TUCSON AZ $62K
ASHEBORO OPTOMETRIC VISION PA ASHEBORO NC $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 34 27 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $0.00