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

Suffolk Primary Health, LLC

Suffolk Primary Health, LLC was paid $22.23M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is G2023, Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source — 28% of everything it billed.

33Billing provider infoSUFFOLK PRIMARY HEALTH, LLC
RIVERHEAD, NY 11901
33aNPI1174965727assigned 07/24/2013
28Total paid$22.23M
24GClaims643,427
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in New York

Rank by total paid#5 of 118
Median peer was paid$372K
This provider vs. median60×

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$2.0M$4.0M$6.0M2018201920202021202220232024
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
20181,204$54K
20192,232$145K
20203,200$206K
20215,897$210K
2022152,389$4.52M
2023424,709$13.59M
2024incomplete53,796$3.51M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 28% 256,236 103,656 $6.32M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 22% 76,467 37,068 $4.98M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12% 36,505 32,396 $2.69M
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 8.3% 94,119 45,479 $1.83M
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 5.1% 12,971 10,691 $1.13M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3.8% 86,343 36,928 $855K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.5% 8,264 5,883 $775K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 2.8% 4,392 1,707 $617K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.7% 1,513 275 $388K
99401 1.2% 6,966 4,442 $269K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.1% 1,748 292 $255K
90847 Family psychotherapy with the patient present, 50 minutes <1% 1,009 449 $203K
94 more codes
90832 Psychotherapy session, about 30 minutes <1% 1,797 $202K
96361 Intravenous infusion, hydration; each additional hour <1% 1,518 $191K
90791 Psychiatric diagnostic evaluation <1% 991 $176K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,905 $166K
90853 Group psychotherapy (other than of a multiple-family group) <1% 2,296 $140K
G0444 Annual depression screening, 5 to 15 minutes <1% 3,210 $132K
99406 <1% 2,804 $102K
90846 Family psychotherapy without the patient present, 50 minutes <1% 704 $79K
99442 <1% 760 $78K
99215 Doctor's office visit, returning patient (complex) <1% 1,455 $68K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 735 $57K
99443 <1% 500 $57K
99051 <1% 3,854 $48K
99000 <1% 1,922 $48K
99203 Doctor's office visit, new patient (routine) <1% 430 $46K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 985 $36K
99441 <1% 320 $36K
36415 Collection of venous blood by venipuncture <1% 8,215 $33K
90837 Psychotherapy session, about an hour <1% 231 $32K
99204 Doctor's office visit, new patient (more involved) <1% 331 $26K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 226 $22K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 183 $20K
93922 <1% 171 $19K
99385 <1% 107 $13K
95923 <1% 121 $12K
95921 <1% 180 $10K
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count <1% 141 $8K
99402 <1% 150 $7K
93975 <1% 12 $6K
93000 <1% 1,398 $6K
99422 <1% 58 $5K
80053 Comprehensive metabolic panel <1% 264 $4K
93923 <1% 27 $4K
95910 <1% 27 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 140 $3K
99403 <1% 47 $3K
92227 <1% 25 $2K
90792 Psychiatric diagnostic evaluation with medical services <1% 12 $2K
80061 Lipid panel <1% 204 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 13 $2K
95885 <1% 28 $2K
99386 <1% 12 $1K
96127 <1% 1,066 $1K
90658 <1% 37 $674.88
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 18 $615.23
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 67 $594.24
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 12 $542.60
99454 <1% 48 $489.96
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 18 $464.03
99453 <1% 126 $315.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 294 $224.71
83036 Hemoglobin; glycosylated (A1C) <1% 408 $207.46
99421 <1% 17 $140.85
81001 <1% 686 $133.47
96160 <1% 39 $83.40
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 40 $54.25
99457 <1% 78 $42.77
99173 <1% 653 $33.04
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 15 $24.21
82607 <1% 109 $21.35
82746 <1% 102 $16.44
86376 <1% 62 $13.33
84443 Thyroid stimulating hormone (TSH) <1% 107 $6.38
87086 Culture, bacterial; quantitative colony count, urine <1% 44 $4.67
83735 <1% 15 $4.64
84100 <1% 15 $4.27
86800 <1% 51 $3.02
84480 <1% 64 $2.69
84439 <1% 64 $1.71
83550 <1% 27 $1.66
84436 <1% 66 $1.31
84479 <1% 66 $1.23
83540 <1% 31 $1.23
3079F 0% 14 $0.00
3008F 0% 2,747 $0.00
1125F 0% 128 $0.00
1126F 0% 1,610 $0.00
87800 0% 46 $0.00
76536 0% 24 $0.00
99205 Prolong outpt/office vis 0% 12 $0.00
3044F 0% 61 $0.00
1170F 0% 16 $0.00
3049F 0% 15 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 0% 54 $0.00
81000 0% 18 $0.00
82728 0% 15 $0.00
1159F 0% 2,784 $0.00
4004F 0% 349 $0.00
1160F 0% 3,051 $0.00
3050F 0% 83 $0.00
99072 0% 1,674 $0.00
3725F 0% 27 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 120 $0.00
99490 Ccm add 20min 0% 92 $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 officialSWERDLOFF, MATISYAHU (CEO)