Clinic
Primary Care Medical Associates, INC
Primary Care Medical Associates, INC was paid $1.32M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoPRIMARY CARE MEDICAL ASSOCIATES, INC
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
33aNPI1023212412assigned 06/12/2007
33bProvider typeClinic/Center
28Total paid$1.32M
24GClaims22,351
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Rhode Island
Rank by total paid#2 of 9
Median peer was paid$27K
This provider vs. median49×
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 | 2,670 | $159K | |
| 2019 | 2,487 | $156K | |
| 2020 | 3,092 | $191K | |
| 2021 | 3,647 | $210K | |
| 2022 | 3,618 | $215K | |
| 2023 | 3,902 | $223K | |
| 2024incomplete | 2,935 | $171K |
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 | 56% | 9,624 | 8,692 | $737K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 7,884 | 6,972 | $405K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.5% | 1,042 | 1,026 | $72K |
| 99051 | 4.5% | 2,389 | 2,291 | $60K | |
| 99050 | 1.3% | 381 | 378 | $17K | |
| 93000 | 1.0% | 660 | 606 | $14K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 196 | 194 | $12K |
| 99443 | <1% | 89 | 74 | $4K | |
| 99442 | <1% | 57 | 53 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | 28 | $1K |
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 officialCAM, IVONNE (OFFICE MANAGER)