Clinic
The ARC of Monmouth, INC.
The ARC of Monmouth, INC. was paid $138K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoTHE ARC OF MONMOUTH, INC.
TINTON FALLS, NJ 07712
TINTON FALLS, NJ 07712
33aNPI1841329018assigned 03/05/2007
33bProvider typeDevelopmental Disabilities Clinic/Center
28Total paid$138K
24GClaims11,477
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Developmental Disabilities Clinic/Center providers in New Jersey
Rank by total paid#13 of 15
Median peer was paid$1.84M
This provider vs. median0.1×
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 | 159 | $6K | |
| 2019 | 246 | $10K | |
| 2020 | 2,600 | $16K | |
| 2021 | 1,918 | $9K | |
| 2022 | 2,559 | $36K | |
| 2023 | 2,157 | $30K | |
| 2024incomplete | 1,838 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 77% | 5,483 | 4,888 | $107K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 6.7% | 1,038 | 358 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 1,032 | 889 | $8K |
| 99443 | 5.3% | 1,100 | 941 | $7K | |
| 99491 | Ccm add 20min | 1.1% | 1,790 | 1,756 | $2K |
| 99349 | <1% | 174 | 150 | $1K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 32 | 32 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 78 | 70 | $906.94 |
| 99354 | <1% | 192 | 185 | $562.70 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 44 | 44 | $385.18 |
| 99442 | <1% | 90 | 88 | $332.17 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 197 | 191 | $192.62 |
6 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 officialLAMAR, BARBARA (BILLING SPECIALIST)