Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Bloomfield › NPI 1235522194
Physician

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.

33Billing provider infoPRIMARY CARE PARTNERS, LLC
BLOOMFIELD, NJ 07003
33aNPI1235522194assigned 03/16/2015
33bProvider typePediatrics Physician
28Total paid$22K
24GClaims468
24DCodes billed5
24AFirst – last monthFeb 2018 – May 2023
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#395 of 549
Median peer was paid$154K
This provider vs. median0.1×

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.

Entity ProliferationAuthorized official SHULKIN, DAVID controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
2018134$8K
201969$4K
202030$1K
202283$4K
2023152$5K
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 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.

From NPPES

Who's on the registration

Authorized officialSHULKIN, DAVID (PRESIDENT)
Same official

Other billing entities under SHULKIN, DAVID

Full network →
ProviderLocationPaid
Primary Care Partners LLCSparta, NJ$977K
Primary Care Partners, LLCClifton, NJ$147K
Primary Care Partners, LLCBloomfield, NJ$75K
Primary Care Partners, LLCHamburg, NJ$34K
Primary Care Partners, LLCNeshanic Station, NJ$24K
Primary Care Partners, LLCVernon, NJ$14K
Primary Care Partners, LLCWhitehouse Station, NJ$13K
Primary Care Partners, LLCParsippany, NJ$10K
Primary Care Partners, LLCHackettstown, NJ$4K
Primary Care Partners, LLCEast Brunswick, NJ$2K
Primary Care Partners, LLCHackettstown, NJ$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.