Primecare Medicine PA

Primecare Medicine PA was paid $1.81M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoPRIMECARE MEDICINE PA
SILVER SPRING, MD 20902

33aNPI1245327881assigned 10/06/2006

33bProvider typeInternal Medicine Physician

28Total paid$1.81M

24GClaims83,603

24DCodes billed79

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Maryland

Rank by total paid#26 of 501

Median peer was paid$77K

This provider vs. median24×

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.

Box 24A · Dates of service

Paid by month

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

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	61%	11,763	10,245	$1.10M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	5,525	4,689	$333K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	6.5%	1,002	967	$117K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	6.1%	900	856	$110K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.1%	246	238	$38K
93000		<1%	859	815	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	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)	<1%	292	267	$11K
99457		<1%	493	482	$10K
99408		<1%	1,776	1,691	$10K
3008F		<1%	6,881	6,102	$7K
96160		<1%	2,466	2,308	$6K

67 more codes

90688		<1%	352	$6K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	4,172	$5K
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	2,210	$3K
92552		<1%	109	$3K
99454		<1%	506	$2K
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	805	$2K
G8783	Normal blood pressure reading documented, follow-up not required	<1%	3,279	$2K
G8754	Most recent diastolic blood pressure < 90 mmhg	<1%	2,291	$1K
G0008	Administration of influenza virus vaccine	<1%	129	$1K
90662		<1%	82	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	311	$1K
90656		<1%	55	$968.12
99072		<1%	3,904	$829.12
1036F		<1%	2,639	$673.68
0011A		<1%	17	$633.88
1170F		<1%	4,336	$603.77
3074F		<1%	1,708	$592.40
G8482	Influenza immunization administered or previously received	<1%	394	$590.91
99458		<1%	17	$589.92
0012A		<1%	15	$560.00
90673		<1%	14	$527.93
1126F		<1%	2,342	$385.76
3044F		<1%	268	$379.55
3288F		<1%	118	$336.97
99000		<1%	68	$264.38
3075F		<1%	454	$261.03
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	3,148	$252.06
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	268	$234.98
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	17	$226.77
G9744	Patient not eligible due to active diagnosis of hypertension	<1%	329	$217.28
2015F		<1%	33	$200.00
99080		<1%	13	$170.47
3014F		<1%	199	$151.80
36415	Collection of venous blood by venipuncture	<1%	70	$121.89
99497		<1%	120	$110.49
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	1,996	$105.08
G0444	Annual depression screening, 5 to 15 minutes	<1%	281	$104.52
1125F		<1%	743	$98.73
1159F		<1%	2,233	$90.03
3017F		<1%	239	$75.76
96127		<1%	14	$65.94
G9899	Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed	<1%	198	$50.76
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	172	$36.43
3078F		<1%	1,656	$33.90
3077F		<1%	276	$31.30
1160F		<1%	4,172	$19.83
3079F		<1%	870	$10.23
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	353	$6.30
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	<1%	352	$4.80
G8753	Most recent systolic blood pressure >= 140 mmhg	<1%	339	$4.80
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	<1%	666	$4.50
2028F		<1%	692	$4.20
M1169	Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)	<1%	32	$3.40
3352F		<1%	54	$1.50
G9902	Patient screened for tobacco use and identified as a tobacco user	<1%	90	$1.50
4013F		<1%	313	$1.50
G8755	Most recent diastolic blood pressure >= 90 mmhg	<1%	40	$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)	<1%	46	$0.60
3048F		<1%	33	$0.30
3050F		<1%	15	$0.30
G8432	Depression screening not documented, reason not given	0%	74	$0.00
3351F		0%	31	$0.00
4010F		0%	28	$0.00
1111F		0%	12	$0.00
1034F		0%	12	$0.00
3353F		0%	32	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	427	$0.00

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 officialARUN, ANURADHA (OWNER)