Primary Care Medical Group PA

Primary Care Medical Group PA was paid $44K by Medicaid between Jan 2018 and May 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoPRIMARY CARE MEDICAL GROUP PA
HARRISON, NJ 07029

33aNPI1134386410assigned 05/22/2008

33bProvider typeInternal Medicine Physician

28Total paid$44K

24GClaims4,206

24DCodes billed5

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#465 of 1,027

Median peer was paid$30K

This provider vs. median1.5×

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

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	1,259	$22K
2019	683	$2K
2020	558	$2K
2021	784	$8K
2022	693	$8K
2023	229	$2K

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	67%	3,027	2,622	$29K
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	30%	1,087	963	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.9%	57	57	$1K
93000		<1%	13	13	$88.88
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	22	16	$23.95

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 officialD'AGOSTINO, RALPH (OWNER)