Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Metropolitan Family Health Network, Inc. (NPI 1417967456)

Field	Value
Entity Type	Organization
Organization	Metropolitan Family Health Network, Inc.
Address	935 Garfield Ave
City	Jersey City
State	NJ
ZIP	07304
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

126 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	20,000	$190	$3.7M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	70,430	$20	$1.5M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	25,440	$20	$432.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,170	$40	$394.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	29,160	$10	$320.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7,930	$40	$277.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,340	$40	$272.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	12,520	$20	$225.3K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	15,190	$10	$182.3K
D0120	Periodic oral evaluation - established patient	3,870	$50	$174K

Showing 1–10 of 126

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Metropolitan Family Health Network, Inc. — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

126 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	12	110	4,060	$170	$1.5M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	392	720	1,690	$80	$629.2K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	33	40	210	$760	$307.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	50	4,450	740	$40	$229.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	173	3,790	580	$60	$204K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	85	430	550	$50	$190.5K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	102	220	900	$1	$180.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	226	550	280	$120	$131.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	65	190	320	$70	$127.9K
D1351	Sealant - per tooth	375	510	780	$20	$106.8K

Showing 1–10 of 126

Related Providers

Other providers that share a Tax Identification Number (TIN) with Metropolitan Family Health Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Merwin Richard	NJ	Cardiovascular Disease Physician	$1M	$231.1K
Jayeshkumar Patel	NJ	Nephrology Physician	$358K	$420.2K

Nearby Providers

Other providers in the same ZIP code as Metropolitan Family Health Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hudson Milestones, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$50.3M
Spectrum Health Care, Inc.	NJ	Methadone Clinic	$444.5K	$16.8M
Care With Love	NJ	Adult Day Care Clinic/Center	$0	$16.7M
Catholic Charities - Mobile Response	NJ	Community/Behavioral Health Agency	$0	$16.6M
Khaleidoscope Health Care Inc.	NJ	Primary Care Clinic/Center	$0	$11.2M
Mm Jc Breathing Center Family Ltd Partnership	NJ	Internal Medicine Physician	$0	$8.2M
Fresenius Medical Care Jersey City, LLC	NJ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8M
Ronald Sultan	NJ	Surgery Physician	$77.7K	$360.4K
Michelle Reisner	NJ	Internal Medicine Physician	$244.6K	$0
Elliot Shulman	NJ	Urology Physician	$193.7K	$0

Metropolitan Family Health Network, Inc. — Billing Profile & Reimbursement Data

Sign up for Metropolitan Family Health Network, Inc. — Billing Profile & Reimbursement Data policy alerts

Metropolitan Family Health Network, Inc. — Billing Profile & Reimbursement Data

Sign up for Metropolitan Family Health Network, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References