Clinic
Primary Care NJ LLC
Primary Care NJ LLC was paid $315K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 38% of everything it billed.
33Billing provider infoPRIMARY CARE NJ LLC
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1063841922assigned 11/01/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$315K
24GClaims15,457
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#35 of 130
Median peer was paid$86K
This provider vs. median3.7×
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 | 240 | $14K | |
| 2019 | 569 | $22K | |
| 2020 | 1,983 | $45K | |
| 2021 | 2,924 | $54K | |
| 2022 | 3,098 | $60K | |
| 2023 | 3,612 | $70K | |
| 2024incomplete | 3,031 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 38% | 4,210 | 1,336 | $119K |
| 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 | 31% | 2,344 | 2,119 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,837 | 1,446 | $50K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.9% | 1,546 | 256 | $19K |
| 99401 | 5.5% | 953 | 789 | $17K | |
| 99223 | Prolong inpt eval add15 m | 1.6% | 221 | 169 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 212 | 159 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 41 | 40 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 44 | 12 | $1K |
| 90674 | <1% | 67 | 65 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 45 | 45 | $591.02 |
| 99306 | Prolong nursin fac eval 15m | <1% | 13 | 12 | $355.67 |
12 more codes
| 96127 | <1% | 155 | $327.90 | |
| 90756 | <1% | 12 | $253.00 | |
| 90686 | <1% | 17 | $167.40 | |
| 90656 | <1% | 15 | $89.40 | |
| 3078F | 0% | 207 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 364 | $0.00 |
| 3077F | 0% | 14 | $0.00 | |
| 3079F | 0% | 1,126 | $0.00 | |
| 3074F | 0% | 1,193 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 747 | $0.00 |
| 3075F | 0% | 58 | $0.00 | |
| 3080F | 0% | 16 | $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 officialDESAI, SAGAR (PRIMARY CARE PHYSICIAN)