PRIME HEALTHCARE SERVICES PAMPA LLC

NPI: 1225381072 · PAMPA, TX 79065 · Obstetrics & Gynecology Physician · NPI assigned 10/17/2012

$14K

Total Medicaid Paid

846

Total Claims

589

Beneficiaries

Codes Billed

2020-03

First Month

2021-04

Last Month

Provider Details

Authorized Official	SARRAO, MICHAEL (VICE-PRESIDENT)
NPI Enumeration Date	10/17/2012

Other providers sharing the same authorized official: SARRAO, MICHAEL

Provider	City	State	Total Paid
ALECTO HEALTHCARE SERVICES FAIRMONT LLC	FAIRMONT	WV	$11.68M
PRIME HEALTHCARE SERVICES ROXBOROUGH LLC	PHILADELPHIA	PA	$8.76M
ALECTO HEALTHCARE SERVICES WHEELING LLC	WHEELING	WV	$6.00M
ALECTO HEALTHCARE SERVICES MARTINS FERRY LLC	MARTINS FERRY	OH	$963K
ALECTO HEALTHCARE SERVICES WHEELING LLC	WHEELING	WV	$956K
SHERMAN MD PROVIDER INC	SHERMAN	TX	$849K
FRMC PHYSICIANS, INC.	FAIRMONT	WV	$816K
ALECTO HEALTHCARE SERVICES MARTINS FERRY LLC	MARTINS FERRY	OH	$194K
PRIME HEALTHCARE SERVICES PAMPA LLC	PAMPA	TX	$7K

Year	Claims	Total Paid
2020	500	$9K
2021	346	$5K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	422	287	$12K
81025		105	86	$701.91
81003		213	157	$399.66
81002		106	59	$290.59