Physician
Prime Medical Care, PC
Prime Medical Care, PC was paid $129K by Medicaid between Jan 2018 and Sep 2024, across 36 billing codes. Its largest line is 99443, — 54% of everything it billed.
33Billing provider infoPRIME MEDICAL CARE, PC
SOUTH RICHMOND HILL, NY 11419
SOUTH RICHMOND HILL, NY 11419
33aNPI1215202874assigned 03/15/2012
33bProvider typeFamily Medicine Physician
28Total paid$129K
24GClaims23,640
24DCodes billed36
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#515 of 2,605
Median peer was paid$10K
This provider vs. median13×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,760 | $21K | |
| 2019 | 4,487 | $17K | |
| 2020 | 3,917 | $14K | |
| 2021 | 5,269 | $11K | |
| 2022 | 2,335 | $17K | |
| 2023 | 2,968 | $46K | |
| 2024incomplete | 1,904 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99443 | 54% | 2,417 | 2,165 | $70K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 3,593 | 3,250 | $32K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 1,029 | 896 | $15K |
| 99401 | 2.2% | 1,721 | 1,590 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 1,336 | 1,297 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 176 | 173 | $2K |
| 90688 | <1% | 122 | 122 | $1K | |
| 90686 | <1% | 159 | 159 | $907.55 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,328 | 2,264 | $768.89 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 50 | 50 | $753.61 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 468 | 446 | $636.72 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 55 | 55 | $460.73 |
24 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $271.00 |
| 0012A | <1% | 17 | $265.71 | |
| 0011A | <1% | 15 | $265.71 | |
| 90756 | <1% | 12 | $252.20 | |
| 96127 | <1% | 925 | $166.69 | |
| 3074F | <1% | 87 | $5.00 | |
| 3078F | <1% | 124 | $5.00 | |
| 3008F | <1% | 2,111 | $0.05 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 724 | $0.04 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 221 | $0.01 |
| H0001 | Alcohol and/or drug assessment | 0% | 421 | $0.00 |
| 99000 | 0% | 1,899 | $0.00 | |
| 1036F | 0% | 148 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 471 | $0.00 |
| 1000F | 0% | 163 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 184 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 34 | $0.00 |
| 3725F | 0% | 432 | $0.00 | |
| 3016F | 0% | 303 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,183 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 183 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 464 | $0.00 |
| 4004F | 0% | 37 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 15 | $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 officialGHAFFAR, TAHIRA (MEDICAL DIRECTOR)