Primary Care Partners, LLC
Primary Care Partners, LLC was paid $22K by Medicaid between Feb 2018 and May 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
BLOOMFIELD, NJ 07003
Next to other Pediatrics Physician providers in New Jersey
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 134 | $8K | |
| 2019 | 69 | $4K | |
| 2020 | 30 | $1K | |
| 2022 | 83 | $4K | |
| 2023 | 152 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 91% | 387 | 326 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 25 | 24 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 14 | 14 | $498.32 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 13 | 13 | $292.50 |
| 99051 | <1% | 29 | 28 | $77.26 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Primary Care Partners LLC | Sparta, NJ | $977K |
| Primary Care Partners, LLC | Clifton, NJ | $147K |
| Primary Care Partners, LLC | Bloomfield, NJ | $75K |
| Primary Care Partners, LLC | Hamburg, NJ | $34K |
| Primary Care Partners, LLC | Neshanic Station, NJ | $24K |
| Primary Care Partners, LLC | Vernon, NJ | $14K |
| Primary Care Partners, LLC | Whitehouse Station, NJ | $13K |
| Primary Care Partners, LLC | Parsippany, NJ | $10K |
| Primary Care Partners, LLC | Hackettstown, NJ | $4K |
| Primary Care Partners, LLC | East Brunswick, NJ | $2K |
| Primary Care Partners, LLC | Hackettstown, NJ | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.