Primary Healthcare Associates, INC
Primary Healthcare Associates, INC was paid $2K by Medicaid between Jan 2018 and Jan 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider infoPRIMARY HEALTHCARE ASSOCIATES, INC
KISSIMMEE, FL 34741
KISSIMMEE, FL 34741
33aNPI1063544963assigned 03/09/2007
33bProvider typeSpecialist
28Total paid$2K
24GClaims5,445
24DCodes billed20
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#419 of 553
Median peer was paid$31K
This provider vs. median0.1×
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 | 542 | $0.00 | |
| 2019 | 1,000 | $1K | |
| 2020 | 440 | $164.99 | |
| 2021 | 264 | $162.05 | |
| 2022 | 164 | $0.00 | |
| 2023 | 2,933 | $0.00 | |
| 2024incomplete | 102 | $0.00 |
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 | 92% | 2,552 | 2,013 | $2K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 7.6% | 499 | 375 | $130.24 |
| 0509F | 0% | 16 | 13 | $0.00 | |
| 1170F | 0% | 127 | 95 | $0.00 | |
| 3074F | 0% | 169 | 143 | $0.00 | |
| 3044F | 0% | 232 | 193 | $0.00 | |
| 1126F | 0% | 98 | 68 | $0.00 | |
| 1101F | 0% | 98 | 66 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 36 | 29 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 40 | 33 | $0.00 |
| 3079F | 0% | 68 | 61 | $0.00 | |
| 3075F | 0% | 99 | 88 | $0.00 |
8 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 officialARVELO, GUSTAVO (PHYSICIAN)