PRIME HEALTHCARE OF SOUTHPORT,LLC
NPI: 1194937581
· FAIRFIELD, CT 06824
· 207R00000X
$1.69M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,521 |
$114K |
| 2019 |
3,899 |
$166K |
| 2020 |
4,840 |
$236K |
| 2021 |
5,444 |
$251K |
| 2022 |
6,982 |
$304K |
| 2023 |
7,565 |
$322K |
| 2024 |
6,941 |
$298K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
12,673 |
9,552 |
$807K |
| 99214 |
|
8,341 |
6,039 |
$646K |
| 99396 |
|
830 |
801 |
$110K |
| 99203 |
|
504 |
467 |
$56K |
| 99395 |
|
279 |
273 |
$36K |
| 93000 |
|
1,369 |
1,128 |
$15K |
| J3420 |
Vitamin b12 injection |
9,350 |
7,600 |
$12K |
| 90686 |
|
245 |
232 |
$4K |
| 82947 |
|
1,326 |
1,133 |
$3K |
| 90756 |
|
48 |
46 |
$749.49 |
| 36415 |
|
186 |
171 |
$528.64 |
| 83036 |
|
70 |
65 |
$446.46 |
| 90688 |
|
16 |
15 |
$231.92 |
| G0439 |
Ppps, subseq visit |
47 |
44 |
$55.24 |
| 81000 |
|
2,276 |
2,120 |
$12.38 |
| 3051F |
|
125 |
118 |
$0.00 |
| 99000 |
|
419 |
376 |
$0.00 |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$0.00 |
| 3044F |
|
38 |
37 |
$0.00 |
| 90471 |
|
34 |
34 |
$0.00 |