Medicaid Provider Spending

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

PRIME MEDIC, P.A.

NPI: 1255432829 · CLEVELAND, TX 77327 · Internal Medicine Physician · NPI assigned 09/26/2006

$428K
Total Medicaid Paid
42,222
Total Claims
30,162
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHERLO, SREENIVASULU (CEO)
NPI Enumeration Date09/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,572 $70K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,432 4,420 $182K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,142 5,206 $125K
99308 Subsequent nursing facility care, per day, straightforward 8,574 5,132 $57K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,124 2,983 $42K
99310 Prolong nursin fac eval 15m 1,078 829 $12K
99307 596 430 $5K
99215 Prolong outpt/office vis 65 54 $4K
99306 Prolong nursin fac eval 15m 81 76 $621.63
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20 13 $403.11
99304 18 18 $224.25
99239 Hospital discharge day management, more than 30 minutes 132 116 $146.94
99305 13 13 $107.28
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) 618 529 $64.04
90688 12 12 $61.51
99223 Prolong inpt eval add15 m 115 100 $54.41
90756 29 29 $40.78
99232 Subsequent hospital care, per day, moderate complexity 460 136 $27.12
1111F 565 442 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 163 124 $0.00
G0008 Administration of influenza virus vaccine 18 18 $0.00
99318 14 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12,867 9,402 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 69 54 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 17 12 $0.00