Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIME HEALTHCARE, PC

NPI: 1184819302 · WETHERSFIELD, CT 06109 · 207RC0200X

$4.27M
Total Medicaid Paid
204,600
Total Claims
183,308
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,813 $581K
2019 27,965 $591K
2020 21,583 $468K
2021 27,966 $582K
2022 34,277 $697K
2023 34,886 $725K
2024 27,110 $630K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 42,172 37,801 $2.07M
99213 32,973 28,924 $1.16M
99308 6,863 6,121 $248K
99349 5,412 4,290 $191K
99305 1,080 967 $72K
99309 1,221 1,061 $60K
99204 1,017 933 $49K
99307 2,435 2,299 $45K
99223 Prolong inpt eval add15 m 525 486 $36K
99336 932 658 $31K
99244 263 240 $29K
99487 Ccm add 20min 1,627 1,599 $29K
99215 Prolong outpt/office vis 432 359 $21K
76770 783 697 $20K
99232 956 528 $19K
G0179 Md recertification hha pt 1,970 1,920 $18K
94010 1,737 1,631 $14K
99396 91 86 $12K
82570 4,263 3,720 $11K
99489 Ccm add 20min 527 514 $10K
99350 Prolong home eval add 15m 257 206 $9K
83036 2,313 2,134 $9K
99490 Ccm add 20min 1,063 1,051 $9K
99395 66 64 $9K
G0180 Md certification hha patient 759 730 $9K
99212 374 349 $8K
99203 124 119 $7K
99202 165 163 $7K
99491 Ccm add 20min 399 394 $6K
51798 1,215 1,068 $6K
96127 283 246 $5K
90674 236 232 $5K
99245 31 29 $4K
82962 4,458 4,095 $4K
94729 568 540 $4K
90460 105 102 $3K
93000 341 323 $3K
99233 Prolong inpt eval add15 m 83 46 $3K
94375 607 535 $3K
99254 31 29 $3K
94727 441 417 $3K
99306 Prolong nursin fac eval 15m 26 24 $3K
95251 228 213 $2K
99231 172 85 $2K
52000 26 25 $1K
99442 55 40 $1K
90686 193 172 $989.56
99497 63 52 $765.82
99222 14 14 $660.33
43239 17 14 $569.00
94060 65 59 $475.02
81003 1,298 1,137 $471.90
90756 30 27 $468.61
95800 14 13 $405.54
99337 15 12 $390.70
96110 13 12 $290.16
G2211 Complex e/m visit add on 113 100 $224.02
98926 13 12 $215.19
90471 333 304 $171.29
99173 13 12 $91.20
81002 273 241 $90.28
3017F 4,012 3,624 $0.00
1036F 9,145 8,317 $0.00
G8419 Calc bmi out nrm param nof/u 20,629 18,926 $0.00
G8952 Pre-htn/htn, no f/u, not gvn 1,157 1,071 $0.00
G8754 Dias bp less 90 7,486 6,627 $0.00
G8420 Calc bmi norm parameters 469 416 $0.00
G8755 Dias bp > or = 90 130 120 $0.00
G8510 Scr dep neg, no plan reqd 187 181 $0.00
3044F 37 36 $0.00
G0008 Admin influenza virus vac 41 37 $0.00
G8783 Bp scrn perf rec interval 27,781 25,201 $0.00
G8417 Calc bmi abv up param f/u 3,403 3,111 $0.00
G8752 Sys bp less 140 5,538 4,992 $0.00
G8753 Sys bp > or = 140 139 125 $0.00
1033F 12 12 $0.00
G8482 Flu immunize order/admin 196 174 $0.00
G8483 Flu imm no admin doc rea 40 38 $0.00
3045F 12 12 $0.00
G0444 Depression screen annual 14 14 $0.00