Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Zufall Health Center,inc

Zufall Health Center,inc was paid $796K by Medicaid between Jul 2018 and Nov 2024, across 56 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 53% of everything it billed.

33Billing provider infoZUFALL HEALTH CENTER,INC
MORRISTOWN, NJ 07960
33aNPI1841527355assigned 11/05/2009
28Total paid$796K
24GClaims45,876
24DCodes billed56
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in New Jersey

Rank by total paid#49 of 98
Median peer was paid$758K
This provider vs. median1.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20181,332$42K
20192,791$79K
20206,884$128K
20216,827$258K
202212,234$169K
202311,471$103K
2024incomplete4,337$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 53% 2,095 1,474 $423K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 5,631 5,276 $100K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.3% 1,408 1,347 $34K
D1120 Dental cleaning, childProphylaxis - child 4.1% 2,671 2,574 $33K
D1110 Prophylaxis - adult 3.7% 1,955 1,909 $29K
D1208 Topical application of fluoride, excluding varnish 3.2% 2,854 2,720 $26K
90460 Immunization administration through 18 years of age via any route, first or only component 3.2% 1,107 1,096 $25K
D0220 Intraoral - periapical first radiographic image 1.9% 4,445 4,319 $15K
D0140 Limited oral evaluation - problem focused 1.8% 1,122 1,087 $14K
D0603 1.4% 2,269 2,208 $11K
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 1.4% 462 444 $11K
D0150 Comprehensive oral evaluation - new or established patient 1.3% 488 483 $11K
44 more codes
D0274 Bitewings - four radiographic images 1.0% 957 $8K
90686 <1% 702 $7K
D0210 Intraoral - complete series of radiographic images <1% 241 $6K
D0230 Intraoral - periapical each additional radiographic image <1% 2,342 $6K
D1206 Topical application of fluoride varnish <1% 386 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 131 $5K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 137 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 270 $3K
D1351 Sealant - per tooth <1% 317 $3K
0012A <1% 64 $2K
D9910 <1% 678 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 28 $1K
0011A <1% 53 $1K
99441 <1% 115 $974.46
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 16 $877.20
D7140 Extraction, erupted tooth or exposed root <1% 47 $870.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 15 $864.15
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 17 $826.20
90461 <1% 56 $758.84
D0270 <1% 241 $657.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 13 $620.84
82947 <1% 230 $478.86
92551 <1% 139 $461.55
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 $377.45
81025 <1% 101 $293.29
83036 Hemoglobin; glycosylated (A1C) <1% 105 $251.07
D0602 <1% 64 $200.00
D0240 <1% 42 $140.00
99173 <1% 145 $134.66
86580 <1% 13 $57.35
D0191 <1% 196 $15.00
99000 <1% 177 $5.00
81002 <1% 26 $3.35
D1310 0% 2,551 $0.00
D1330 0% 4,746 $0.00
G0467 Community health center visit, returning patient 0% 27 $0.00
91301 0% 129 $0.00
3074F 0% 51 $0.00
90834 Psychotherapy session, about 45 minutes 0% 39 $0.00
D0601 0% 13 $0.00
D9993 0% 2,561 $0.00
90832 Psychotherapy session, about 30 minutes 0% 1,123 $0.00
4551F 0% 12 $0.00
3078F 0% 41 $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 officialBEBEL, PETER (CFO)
Same official

Other billing entities under BEBEL, PETER

Full network →
ProviderLocationPaid
Zufall Health Center, INCDover, NJ$10.59M
Zufall Health Center, INCDover, NJ$197K
Zufall Health Center,incDover, NJ$60K
Zufall Health Center, INCHackettstown, NJ$15K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.