Physician
Prine Health Medical Group, PLLC
Prine Health Medical Group, PLLC was paid $963K by Medicaid between May 2020 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoPRINE HEALTH MEDICAL GROUP, PLLC
MANHASSET, NY 11030
MANHASSET, NY 11030
33aNPI1144790163assigned 12/03/2018
33bProvider typeNephrology Physician
28Total paid$963K
24GClaims18,195
24DCodes billed31
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in New York
Rank by total paid#9 of 559
Median peer was paid$18K
This provider vs. median55×
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 | |
|---|---|---|---|
| 2020 | 196 | $8K | |
| 2021 | 1,001 | $58K | |
| 2022 | 4,452 | $232K | |
| 2023 | 7,232 | $384K | |
| 2024incomplete | 5,314 | $280K |
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 | 22% | 2,916 | 2,716 | $216K |
| 93975 | 13% | 531 | 530 | $127K | |
| 76830 | Ultrasound, transvaginal | 12% | 1,156 | 1,127 | $112K |
| 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 | 8.8% | 832 | 762 | $85K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 8.0% | 445 | 445 | $78K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.8% | 1,716 | 860 | $76K |
| 99385 | 5.4% | 481 | 481 | $52K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 4.8% | 964 | 946 | $46K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 330 | 330 | $32K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 2.7% | 665 | 665 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 417 | 409 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 151 | 151 | $15K |
19 more codes
| 93976 | 1.5% | 111 | $15K | |
| 81025 | 1.1% | 2,485 | $11K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.0% | 166 | $10K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 56 | $9K |
| 99490 | Ccm add 20min | <1% | 79 | $9K |
| 36902 | <1% | 15 | $7K | |
| 81002 | <1% | 2,798 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 52 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | $3K |
| 99386 | <1% | 13 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,069 | $714.32 |
| 99152 | <1% | 28 | $456.15 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 157 | $416.93 |
| 83986 | <1% | 240 | $268.72 | |
| 81003 | <1% | 94 | $146.60 | |
| 93000 | <1% | 12 | $142.35 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 59 | $50.52 |
| 99000 | 0% | 118 | $0.00 | |
| 99001 | 0% | 13 | $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 officialTOOHEY, ADRIANA (HR/CREDENTIALING)