PRIMECARE URGENT CARE PLLC
NPI: 1174875140
· NOVI, MI 48375
· Urgent Care Clinic/Center
· NPI assigned 10/15/2012
$708K
Total Medicaid Paid
Provider Details
| Authorized Official | SHIVELY, THEODORE (OWNER) |
| NPI Enumeration Date | 10/15/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,720 |
$60K |
| 2019 |
2,005 |
$70K |
| 2020 |
1,672 |
$55K |
| 2021 |
4,531 |
$160K |
| 2022 |
4,914 |
$171K |
| 2023 |
4,021 |
$113K |
| 2024 |
2,073 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
4,672 |
4,325 |
$250K |
| 99203 |
|
3,627 |
3,614 |
$232K |
| 99214 |
|
1,847 |
1,782 |
$127K |
| 87426 |
|
2,037 |
1,923 |
$54K |
| 87804 |
|
1,587 |
801 |
$18K |
| 87880 |
|
740 |
726 |
$8K |
| 99202 |
|
110 |
110 |
$5K |
| 99000 |
|
765 |
732 |
$5K |
| 87635 |
|
96 |
94 |
$4K |
| 96372 |
|
234 |
224 |
$2K |
| 81002 |
|
660 |
638 |
$1K |
| 99212 |
|
33 |
30 |
$1K |
| 99204 |
|
13 |
13 |
$1K |
| 71046 |
|
12 |
12 |
$154.54 |
| 36415 |
|
13 |
13 |
$28.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$14.20 |
| 3079F |
|
34 |
33 |
$0.00 |
| 3074F |
|
102 |
99 |
$0.00 |
| 3008F |
|
112 |
108 |
$0.00 |
| 1036F |
|
46 |
43 |
$0.00 |
| S9083 |
Global fee urgent care centers |
25 |
25 |
$0.00 |
| 99051 |
|
4,035 |
3,860 |
$0.00 |
| 99072 |
|
65 |
63 |
$0.00 |
| 3078F |
|
57 |
57 |
$0.00 |