Primacare Family Medicine PLLC

Primacare Family Medicine PLLC was paid $148K by Medicaid between Jan 2018 and Jul 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoPRIMACARE FAMILY MEDICINE PLLC
ELMHURST, NY 11373

33aNPI1013378793assigned 03/09/2016

33bProvider typeFamily Medicine Physician

28Total paid$148K

24GClaims1,999

24DCodes billed11

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#482 of 2,605

Median peer was paid$10K

This provider vs. median15×

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	105	$11K
2019	273	$16K
2020	393	$26K
2021	403	$36K
2022	449	$34K
2023	297	$21K
2024incomplete	79	$4K

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	48%	571	495	$71K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	48%	818	682	$71K
99442		1.9%	29	27	$3K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	1.5%	159	155	$2K
90688		<1%	34	34	$668.80
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	33	33	$493.91
96127		<1%	27	27	$147.36
97803		<1%	69	66	$33.68
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	0%	12	12	$0.00
99000		0%	170	167	$0.00
G9275	Documentation that patient is a current non-tobacco user	0%	77	77	$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 officialZHU, LIWEN (DIRECTOR)