Physician
Provident Primary Care INC
Provident Primary Care INC was paid $310K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoPROVIDENT PRIMARY CARE INC
MERCED, CA 95340
MERCED, CA 95340
33aNPI1154785517assigned 04/11/2016
33bProvider typePulmonary Disease Physician
28Total paid$310K
24GClaims35,536
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in California
Rank by total paid#48 of 225
Median peer was paid$53K
This provider vs. median5.8×
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 | 4,987 | $47K | |
| 2019 | 5,432 | $49K | |
| 2020 | 5,943 | $40K | |
| 2021 | 4,591 | $31K | |
| 2022 | 4,954 | $42K | |
| 2023 | 6,107 | $69K | |
| 2024incomplete | 3,522 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 55% | 9,019 | 8,003 | $170K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 17% | 2,164 | 2,162 | $52K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 15,756 | 13,471 | $17K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 4.9% | 952 | 950 | $15K |
| 96127 | 3.7% | 1,603 | 1,595 | $12K | |
| 99385 | 1.9% | 363 | 363 | $6K | |
| 99242 | 1.7% | 54 | 54 | $5K | |
| 90688 | 1.7% | 243 | 241 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.6% | 640 | 635 | $5K |
| 11721 | 1.5% | 252 | 193 | $5K | |
| 99205 | Prolong outpt/office vis | 1.5% | 22 | 22 | $5K |
| 99349 | <1% | 46 | 46 | $3K |
23 more codes
| 90756 | <1% | 79 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 668 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 44 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 565 | $982.76 |
| 90674 | <1% | 35 | $962.20 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 39 | $873.64 |
| 99386 | <1% | 70 | $700.85 | |
| 99406 | <1% | 34 | $516.81 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 79 | $512.97 |
| 85018 | <1% | 119 | $293.25 | |
| 86580 | <1% | 40 | $245.70 | |
| 81000 | <1% | 88 | $238.65 | |
| 82962 | <1% | 44 | $94.40 | |
| 81025 | <1% | 12 | $51.48 | |
| 81003 | <1% | 13 | $31.85 | |
| 81002 | <1% | 12 | $21.50 | |
| 99499 | 0% | 2,167 | $0.00 | |
| 3078F | 0% | 12 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 27 | $0.00 |
| 4004F | 0% | 15 | $0.00 | |
| 1036F | 0% | 203 | $0.00 | |
| 3044F | 0% | 28 | $0.00 | |
| 92551 | 0% | 29 | $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 officialTIU, JERRY (CEO)