Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Elizabeth Primary Care, LLC

Elizabeth Primary Care, LLC was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoELIZABETH PRIMARY CARE, LLC
ELIZABETH, NJ 07202
33aNPI1255317046assigned 12/22/2005
28Total paid$1.51M
24GClaims67,609
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#46 of 1,027
Median peer was paid$30K
This provider vs. median51×

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

$0$10K$20K$30K2018201920202021202220232024
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
201810,196$219K
201911,046$210K
20209,164$215K
202112,053$289K
202211,233$262K
20237,794$195K
2024incomplete6,123$117K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 21,302 18,355 $925K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10.0% 4,931 4,393 $150K
95923 5.0% 1,916 1,849 $75K
94060 4.6% 3,046 3,010 $69K
93923 3.5% 1,937 1,744 $52K
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 3.3% 609 578 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.2% 7,470 6,895 $33K
94200 1.7% 3,050 3,015 $25K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.7% 345 304 $25K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1.3% 1,782 1,621 $20K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.2% 3,047 3,012 $18K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 1,463 1,349 $11K
30 more codes
G0247 Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails <1% 1,096 $11K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 1,104 $9K
94010 <1% 638 $8K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 5,452 $6K
99407 <1% 313 $3K
93224 <1% 65 $3K
99497 <1% 866 $3K
36415 Collection of venous blood by venipuncture <1% 3,100 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 124 $3K
99495 <1% 39 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 659 $1K
93922 <1% 24 $906.58
G0246 Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education <1% 1,062 $691.92
99454 <1% 378 $205.30
99406 <1% 27 $203.14
99457 <1% 508 $166.55
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes <1% 13 $58.04
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 26 $23.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 16 $21.64
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 12 $6.00
99453 <1% 27 $2.00
99072 <1% 828 $1.96
1160F 0% 52 $0.00
1159F 0% 50 $0.00
3288F 0% 20 $0.00
3078F 0% 72 $0.00
1126F 0% 15 $0.00
1036F 0% 33 $0.00
1125F 0% 20 $0.00
3074F 0% 72 $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 officialBATTA, SANJAY (CEO)