Physician
Prime Medical Health Care PC
Prime Medical Health Care PC was paid $1.38M by Medicaid between Jan 2018 and Jul 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoPRIME MEDICAL HEALTH CARE PC
EASTPOINTE, MI 48021
EASTPOINTE, MI 48021
33aNPI1023075744assigned 04/27/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.38M
24GClaims22,637
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#100 of 826
Median peer was paid$98K
This provider vs. median14×
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 | 3,793 | $211K | |
| 2019 | 3,133 | $169K | |
| 2020 | 3,306 | $188K | |
| 2021 | 3,945 | $242K | |
| 2022 | 3,803 | $239K | |
| 2023 | 3,516 | $238K | |
| 2024incomplete | 1,141 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 11,952 | 10,284 | $717K |
| 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 | 33% | 5,664 | 5,588 | $452K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.7% | 968 | 968 | $92K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.9% | 794 | 794 | $67K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,340 | 1,338 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 160 | 160 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 121 | 121 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 994 | 981 | $3K |
| 90756 | <1% | 89 | 89 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 98 | 98 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 138 | 137 | $1K |
| 99442 | <1% | 118 | 96 | $1K |
5 more codes
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 officialODUMODU, NWANNEKA (PRESIDENT)