Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

District Primary Care, LLC

District Primary Care, LLC was paid $48K by Medicaid between Jan 2020 and Aug 2024, across 12 billing codes. Its largest line is 99349, — 84% of everything it billed.

33Billing provider infoDISTRICT PRIMARY CARE, LLC
WASHINGTON, DC 20003
33aNPI1124477096assigned 06/10/2016
28Total paid$48K
24GClaims1,826
24DCodes billed12
24AFirst – last monthJan 2020 – Aug 2024
Compared with peers

Next to other Family Nurse Practitioner providers in District of Columbia

Rank by total paid#9 of 27
Median peer was paid$19K
This provider vs. median2.5×

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$2.0K$4.0K2018201920202021202220232024
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
2020203$5K
2021801$9K
2022367$19K
2023268$15K
2024incomplete187$248.58
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99349 84% 1,081 861 $40K
99350 Prolong home eval add 15m 13% 80 68 $6K
99348 1.8% 17 16 $875.06
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 1.3% 20 17 $604.44
90653 0% 36 21 $0.00
99490 Ccm add 20min 0% 308 242 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 22 19 $0.00
99457 0% 60 41 $0.00
99439 0% 123 88 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 0% 18 16 $0.00
G0008 Administration of influenza virus vaccine 0% 49 23 $0.00
90694 0% 12 12 $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 officialCOOK, WESLEY (MEDICAL DIRECTOR)