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

Zufall Health Center, INC

Zufall Health Center, INC was paid $33K by Medicaid between Sep 2018 and Oct 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoZUFALL HEALTH CENTER, INC
WEST ORANGE, NJ 07052
33aNPI1902217276assigned 05/08/2014
28Total paid$33K
24GClaims1,501
24DCodes billed11
24AFirst – last monthSep 2018 – Oct 2023
Compared with peers

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

Rank by total paid#82 of 98
Median peer was paid$758K
This provider vs. median0.0×

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$2.0K$4.0K2018201920202021202220232024
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
2018282$3K
2019289$10K
2021132$2K
2022413$9K
2023385$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61% 1,007 921 $21K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 18% 40 31 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 14% 221 217 $5K
90686 2.7% 118 112 $905.66
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.3% 25 25 $769.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 17 17 $173.74
99441 <1% 14 14 $129.01
81025 <1% 15 12 $38.36
81002 <1% 16 12 $7.40
3074F 0% 14 12 $0.00
3078F 0% 14 12 $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 officialBARAJAS, ELIZABET (FINANCE ADMINISTRATIVE ASSISTANT)