Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIMARY CARE NJ LLC

NPI: 1063841922 · EDISON, NJ 08820 · Primary Care Clinic/Center · NPI assigned 11/01/2013

$315K
Total Medicaid Paid
15,457
Total Claims
9,692
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDESAI, SAGAR (PRIMARY CARE PHYSICIAN)
NPI Enumeration Date11/01/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 240 $14K
2019 569 $22K
2020 1,983 $45K
2021 2,924 $54K
2022 3,098 $60K
2023 3,612 $70K
2024 3,031 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,210 1,336 $119K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,344 2,119 $96K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,837 1,446 $50K
99233 Prolong inpt eval add15 m 1,546 256 $19K
99401 953 789 $17K
99223 Prolong inpt eval add15 m 221 169 $5K
99239 Hospital discharge day management, more than 30 minutes 212 159 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 41 40 $1K
99232 Subsequent hospital care, per day, moderate complexity 44 12 $1K
90674 67 65 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 45 45 $591.02
99306 Prolong nursin fac eval 15m 13 12 $355.67
96127 155 148 $327.90
90756 12 12 $253.00
90686 17 16 $167.40
90656 15 12 $89.40
3078F 207 175 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 364 288 $0.00
3077F 14 12 $0.00
3079F 1,126 920 $0.00
3074F 1,193 991 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 747 606 $0.00
3075F 58 52 $0.00
3080F 16 12 $0.00