Bergenline Family Medicine

Bergenline Family Medicine was paid $164K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoBERGENLINE FAMILY MEDICINE
WEST NEW YORK, NJ 07093

33aNPI1811207475assigned 10/18/2010

33bProvider typePrimary Care Clinic/Center

28Total paid$164K

24GClaims5,009

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in New Jersey

Rank by total paid#44 of 130

Median peer was paid$86K

This provider vs. median1.9×

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	836	$38K
2019	713	$28K
2020	757	$21K
2021	627	$20K
2022	735	$20K
2023	788	$22K
2024incomplete	553	$14K

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	88%	4,305	4,009	$144K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	11%	477	425	$18K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	77	77	$876.44
90756		<1%	41	41	$789.97
90688		<1%	58	58	$484.12
99443		<1%	36	29	$409.08
99442		<1%	15	15	$112.02

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 officialFAJARDO, GIL (DIRECTOR)