South Cumberland Medical Associates PC

South Cumberland Medical Associates PC was paid $13K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoSOUTH CUMBERLAND MEDICAL ASSOCIATES PC
BRIDGETON, NJ 08302

33aNPI1821021593assigned 07/08/2006

33bProvider typeFamily Medicine Physician

28Total paid$13K

24GClaims3,747

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#240 of 414

Median peer was paid$28K

This provider vs. median0.5×

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	682	$2K
2019	724	$2K
2020	693	$3K
2021	675	$3K
2022	443	$1K
2023	291	$716.67
2024incomplete	239	$632.93

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	41%	2,622	2,437	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	17%	196	195	$2K
90688		17%	160	159	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	16%	179	179	$2K
90658		4.4%	42	42	$561.99
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	3.9%	148	138	$505.99
96127		<1%	59	58	$9.06
94760		<1%	165	155	$3.88
99072		0%	176	170	$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 officialZANNI, LISA (PRACTICE MANAGER)