Physician
Cafonecare, LLC
Cafonecare, LLC was paid $633K by Medicaid between Jan 2018 and Jul 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoCAFONECARE, LLC
MULLICA HILL, NJ 08062
MULLICA HILL, NJ 08062
33aNPI1831491992assigned 11/23/2010
33bProvider typePediatrics Physician
28Total paid$633K
24GClaims15,290
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#150 of 549
Median peer was paid$154K
This provider vs. median4.1×
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 | 4,127 | $168K | |
| 2019 | 3,851 | $165K | |
| 2020 | 1,623 | $69K | |
| 2021 | 1,937 | $84K | |
| 2022 | 2,490 | $98K | |
| 2023 | 1,262 | $49K |
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 | 57% | 8,334 | 7,308 | $363K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 1,332 | 1,310 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,281 | 1,276 | $67K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.1% | 1,085 | 1,079 | $57K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 1,446 | 1,425 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.3% | 486 | 485 | $27K |
| 90461 | 1.7% | 607 | 606 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 127 | 121 | $2K |
| 90656 | <1% | 160 | 160 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $922.65 |
| 90672 | <1% | 29 | 29 | $686.84 | |
| 90473 | <1% | 12 | 12 | $115.50 |
3 more codes
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 officialCAFONE, MICHAEL (OWNER)