Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Premier Care Pediatrics, LLC

Premier Care Pediatrics, LLC was paid $1.99M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoPREMIER CARE PEDIATRICS, LLC
GREAT FALLS, MT 59405
33aNPI1215361761assigned 09/01/2013
28Total paid$1.99M
24GClaims30,082
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20186,587$403K
20195,924$363K
20203,970$242K
20214,239$276K
20223,950$275K
20232,677$211K
2024incomplete2,735$221K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 6,579 6,094 $601K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13% 2,074 2,051 $253K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13% 2,059 2,019 $252K
90460 Immunization administration through 18 years of age via any route, first or only component 11% 4,701 4,626 $228K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.2% 1,588 1,577 $183K
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 8.3% 1,281 1,238 $164K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.9% 730 723 $98K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.5% 961 933 $51K
90670 1.6% 1,369 1,363 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 827 816 $18K
90651 <1% 265 259 $15K
90698 <1% 919 913 $13K
27 more codes
90710 <1% 148 $11K
90461 <1% 147 $9K
90680 <1% 766 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 385 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 396 $6K
90686 <1% 1,881 $6K
96127 <1% 842 $6K
99381 <1% 40 $5K
90734 <1% 113 $4K
90633 <1% 498 $3K
90697 <1% 306 $3K
90696 <1% 146 $3K
90677 <1% 107 $1K
90621 <1% 15 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 103 $1K
90619 <1% 30 $1K
90744 <1% 294 $937.10
90707 <1% 26 $812.64
90685 <1% 211 $805.16
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 20 $717.30
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 14 $456.17
96380 <1% 13 $387.28
90656 <1% 147 $358.08
D1206 Topical application of fluoride varnish <1% 17 $323.71
90715 <1% 26 $309.96
83655 <1% 25 $302.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 13 $8.58

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 officialGARVER, MICHAEL (CEO)