BERGENLINE FAMILY MEDICINE
NPI: 1811207475
· WEST NEW YORK, NJ 07093
· Primary Care Clinic/Center
· NPI assigned 10/18/2010
$164K
Total Medicaid Paid
Provider Details
| Authorized Official | FAJARDO, GIL (DIRECTOR) |
| NPI Enumeration Date | 10/18/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
836 |
$38K |
| 2019 |
713 |
$28K |
| 2020 |
757 |
$21K |
| 2021 |
627 |
$20K |
| 2022 |
735 |
$20K |
| 2023 |
788 |
$22K |
| 2024 |
553 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,305 |
4,009 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
477 |
425 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
77 |
$876.44 |
| 90756 |
|
41 |
41 |
$789.97 |
| 90688 |
|
58 |
58 |
$484.12 |
| 99443 |
|
36 |
29 |
$409.08 |
| 99442 |
|
15 |
15 |
$112.02 |