Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Prime Behavioral Health LLC

Prime Behavioral Health LLC was paid $374K by Medicaid between Jul 2019 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoPRIME BEHAVIORAL HEALTH LLC
LAUREL, MD 20707
33aNPI1164990818assigned 11/10/2018
28Total paid$374K
24GClaims4,972
24DCodes billed4
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Maryland

Rank by total paid#304 of 553
Median peer was paid$501K
This provider vs. median0.7×

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$10K$15K2018201920202021202220232024
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
2019155$9K
2020960$67K
20211,252$82K
20221,095$82K
2023895$80K
2024incomplete615$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 70% 3,125 2,778 $262K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 1,689 1,584 $109K
99348 <1% 80 79 $2K
99335 <1% 78 71 $1K

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 officialFOMENGIA, JULIUS (PARTNER)