Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Prime Health Associates

Prime Health Associates was paid $52K by Medicaid between Jan 2018 and Aug 2018, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 44% of everything it billed.

33Billing provider infoPRIME HEALTH ASSOCIATES
BEAVER, WV 25813
33aNPI1073503637assigned 10/25/2005
33bProvider typeSpecialist
28Total paid$52K
24GClaims913
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other Specialist providers in West Virginia

Rank by total paid#52 of 71
Median peer was paid$232K
This provider vs. median0.2×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018913$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 44% 335 134 $23K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 311 275 $13K
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 24% 227 200 $13K
99222 Initial hospital care, per day, moderate complexity 7.2% 40 37 $4K

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 officialZINZUWADIA, BELLA (PRESIDENT)