Prime Medic, P.A.

Prime Medic, P.A. was paid $428K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoPRIME MEDIC, P.A.
CLEVELAND, TX 77327

33aNPI1255432829assigned 09/26/2006

33bProvider typeInternal Medicine Physician

28Total paid$428K

24GClaims42,222

24DCodes billed24

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#74 of 1,028

Median peer was paid$10K

This provider vs. median41×

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	6,047	$19K
2019	5,037	$21K
2020	5,635	$43K
2021	6,937	$84K
2022	6,777	$98K
2023	6,217	$94K
2024incomplete	5,572	$70K

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	43%	5,432	4,420	$182K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	6,142	5,206	$125K
99308	Subsequent nursing facility care, per day, straightforward	13%	8,574	5,132	$57K
99309	Subsequent nursing facility care, per day, low to moderate complexity	9.9%	5,124	2,983	$42K
99310	Prolong nursin fac eval 15m	2.7%	1,078	829	$12K
99307		1.2%	596	430	$5K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	65	54	$4K
99306	Prolong nursin fac eval 15m	<1%	81	76	$621.63
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	20	13	$403.11
99304		<1%	18	18	$224.25
99239	Hospital discharge day management, more than 30 minutes	<1%	132	116	$146.94
99305		<1%	13	13	$107.28

12 more codes

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%	618	$64.04
90688		<1%	12	$61.51
99223	Prolong inpt eval add15 m	<1%	115	$54.41
90756		<1%	29	$40.78
99232	Hospital visit by a doctor, follow-up day	<1%	460	$27.12
1111F		0%	565	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	163	$0.00
G0008	Administration of influenza virus vaccine	0%	18	$0.00
99318		0%	14	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	12,867	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	69	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	17	$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 officialCHERLO, SREENIVASULU (CEO)