Clinic
Newark Community Health Centers, INC.
Newark Community Health Centers, INC. was paid $1.91M by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoNEWARK COMMUNITY HEALTH CENTERS, INC.
NEWARK, NJ 07114
NEWARK, NJ 07114
33aNPI1932370483assigned 03/12/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.91M
24GClaims48,638
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Jersey
Rank by total paid#35 of 98
Median peer was paid$758K
This provider vs. median2.5×
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 | 12,521 | $317K | |
| 2019 | 7,621 | $279K | |
| 2020 | 5,046 | $234K | |
| 2021 | 5,427 | $250K | |
| 2022 | 5,439 | $211K | |
| 2023 | 8,980 | $318K | |
| 2024incomplete | 3,604 | $305K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 83% | 8,381 | 6,199 | $1.59M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 4,446 | 4,345 | $64K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 3,614 | 3,528 | $50K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 2,048 | 1,985 | $44K |
| D1110 | Prophylaxis - adult | 1.9% | 2,334 | 2,266 | $36K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 5,425 | 5,293 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 546 | 440 | $17K |
| D1206 | Topical application of fluoride varnish | <1% | 1,120 | 1,086 | $16K |
| D0274 | Bitewings - four radiographic images | <1% | 1,858 | 1,815 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,357 | 1,354 | $14K |
| D0140 | Limited oral evaluation - problem focused | <1% | 869 | 854 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,342 | 3,925 | $12K |
31 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 438 | $11K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 3,669 | $4K |
| D9310 | <1% | 221 | $4K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 58 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 111 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 302 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,358 | $1K |
| D0330 | Panoramic radiographic image | <1% | 53 | $756.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 582 | $366.85 |
| D1351 | Sealant - per tooth | <1% | 35 | $350.00 |
| G0467 | Community health center visit, returning patient | <1% | 53 | $133.67 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 137 | $82.28 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 534 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 19 | $0.00 |
| 99173 | 0% | 154 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 136 | $0.00 |
| 90633 | 0% | 90 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 15 | $0.00 |
| 90715 | 0% | 79 | $0.00 | |
| 90713 | 0% | 54 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 71 | $0.00 |
| D1330 | 0% | 2,558 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 880 | $0.00 |
| 99385 | 0% | 106 | $0.00 | |
| 92551 | 0% | 112 | $0.00 | |
| 97802 | 0% | 45 | $0.00 | |
| 90686 | 0% | 73 | $0.00 | |
| 90716 | 0% | 54 | $0.00 | |
| 90744 | 0% | 58 | $0.00 | |
| 82962 | 0% | 218 | $0.00 | |
| 99386 | 0% | 25 | $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 officialCLARKE, PAMELA (PRESIDENT/CEO)
Parent organizationNEWARKCOMMUNITY HEALTH CENTRS,INC.
| Provider | Location | Paid |
|---|---|---|
| Newark Community Health Centers, INC. | Newark, NJ | $17.15M |
| Newark Community Health Centers,inc. | East Orange, NJ | $2.16M |
| Newark Community Health Centers INC | Irvington, NJ | $1.39M |
| Newark Community Health Centers INC. | Orange, NJ | $290K |
| Newark Community Health Centers, INC | Newark, NJ | $249K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.