Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › SILVER SPRING › PRIMECARE MEDICINE PA

PRIMECARE MEDICINE PA

NPI: 1245327881 · SILVER SPRING, MD 20902 · Internal Medicine Physician · NPI assigned 10/06/2006

$1.81M
Total Medicaid Paid
83,603
Total Claims
74,890
Beneficiaries
79
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialARUN, ANURADHA (OWNER)
NPI Enumeration Date10/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 873 $42K
2019 1,351 $33K
2020 5,119 $234K
2021 8,405 $402K
2022 10,571 $356K
2023 23,634 $420K
2024 33,650 $320K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,763 10,245 $1.10M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,525 4,689 $333K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,002 967 $117K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 900 856 $110K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 246 238 $38K
93000 859 815 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 117 109 $11K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 292 267 $11K
99457 493 482 $10K
99408 1,776 1,691 $10K
3008F 6,881 6,102 $7K
96160 2,466 2,308 $6K
90688 352 328 $6K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,172 3,754 $5K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,210 1,989 $3K
92552 109 91 $3K
99454 506 497 $2K
G8420 Bmi is documented within normal parameters and no follow-up plan is required 805 722 $2K
G8783 Normal blood pressure reading documented, follow-up not required 3,279 2,968 $2K
G8754 Most recent diastolic blood pressure < 90 mmhg 2,291 2,109 $1K
G0008 Administration of influenza virus vaccine 129 125 $1K
90662 82 77 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 311 286 $1K
90656 55 51 $968.12
99072 3,904 3,150 $829.12
1036F 2,639 2,410 $673.68
0011A 17 17 $633.88
1170F 4,336 3,879 $603.77
3074F 1,708 1,535 $592.40
G8482 Influenza immunization administered or previously received 394 366 $590.91
99458 17 17 $589.92
0012A 15 14 $560.00
90673 14 13 $527.93
1126F 2,342 2,149 $385.76
3044F 268 247 $379.55
3288F 118 98 $336.97
99000 68 66 $264.38
3075F 454 422 $261.03
G9903 Patient screened for tobacco use and identified as a tobacco non-user 3,148 2,840 $252.06
G0442 Annual alcohol misuse screening, 5 to 15 minutes 268 248 $234.98
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 17 12 $226.77
G9744 Patient not eligible due to active diagnosis of hypertension 329 296 $217.28
2015F 33 32 $200.00
99080 13 12 $170.47
3014F 199 185 $151.80
36415 Collection of venous blood by venipuncture 70 68 $121.89
99497 120 98 $110.49
G8752 Most recent systolic blood pressure < 140 mmhg 1,996 1,850 $105.08
G0444 Annual depression screening, 5 to 15 minutes 281 257 $104.52
1125F 743 689 $98.73
1159F 2,233 1,996 $90.03
3017F 239 228 $75.76
96127 14 14 $65.94
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 198 182 $50.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 172 153 $36.43
3078F 1,656 1,501 $33.90
3077F 276 245 $31.30
1160F 4,172 3,685 $19.83
3079F 870 784 $10.23
G8510 Screening for depression is documented as negative, a follow-up plan is not required 353 331 $6.30
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 352 319 $4.80
G8753 Most recent systolic blood pressure >= 140 mmhg 339 309 $4.80
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 666 606 $4.50
2028F 692 666 $4.20
M1169 Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine) 32 29 $3.40
3352F 54 48 $1.50
G9902 Patient screened for tobacco use and identified as a tobacco user 90 81 $1.50
4013F 313 276 $1.50
G8755 Most recent diastolic blood pressure >= 90 mmhg 40 39 $0.60
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 46 40 $0.60
3048F 33 27 $0.30
3050F 15 14 $0.30
G8432 Depression screening not documented, reason not given 74 73 $0.00
3351F 31 30 $0.00
4010F 28 22 $0.00
1111F 12 12 $0.00
1034F 12 12 $0.00
3353F 32 32 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 427 400 $0.00