Medicaid Provider Spending

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

PRIME MEDICAL CARE, PC

NPI: 1215202874 · SOUTH RICHMOND HILL, NY 11419 · Family Medicine Physician · NPI assigned 03/15/2012

$129K
Total Medicaid Paid
23,640
Total Claims
22,219
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGHAFFAR, TAHIRA (MEDICAL DIRECTOR)
NPI Enumeration Date03/15/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,904 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99443 2,417 2,165 $70K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,593 3,250 $32K
90460 Immunization administration through 18 years of age via any route, first or only component 1,029 896 $15K
99401 1,721 1,590 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,336 1,297 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 176 173 $2K
90688 122 122 $1K
90686 159 159 $907.55
36415 Collection of venous blood by venipuncture 2,328 2,264 $768.89
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 50 50 $753.61
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 468 446 $636.72
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 55 55 $460.73
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $271.00
0012A 17 17 $265.71
0011A 15 15 $265.71
90756 12 12 $252.20
96127 925 925 $166.69
3074F 87 82 $5.00
3078F 124 118 $5.00
3008F 2,111 1,935 $0.05
G8510 Screening for depression is documented as negative, a follow-up plan is not required 724 723 $0.04
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 221 220 $0.01
H0001 Alcohol and/or drug assessment 421 421 $0.00
99000 1,899 1,832 $0.00
1036F 148 148 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 471 431 $0.00
1000F 163 163 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 184 170 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34 34 $0.00
3725F 432 432 $0.00
3016F 303 303 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,183 1,073 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 183 169 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 464 464 $0.00
4004F 37 37 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $0.00