Medicaid Provider Spending

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

NPI: 1235522194 · BLOOMFIELD, NJ 07003 · Pediatrics Physician · NPI assigned 03/16/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SHULKIN, DAVID controls 11+ related entities in our dataset. Read more

$22K
Total Medicaid Paid
468
Total Claims
405
Beneficiaries
5
Codes Billed
2018-02
First Month
2023-05
Last Month

Provider Details

Authorized OfficialSHULKIN, DAVID (PRESIDENT)
NPI Enumeration Date03/16/2015

Related Entities

Other providers sharing the same authorized official: SHULKIN, DAVID

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $8K
2019 69 $4K
2020 30 $1K
2022 83 $4K
2023 152 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 387 326 $20K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 25 24 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $498.32
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $292.50
99051 29 28 $77.26