Medicaid Provider Spending

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

PRIMA CARE, PC

NPI: 1265422596 · FALL RIVER, MA 02721 · 225XE1200X

$32.39M
Total Medicaid Paid
1,599,256
Total Claims
1,362,860
Beneficiaries
360
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 255,886 $5.28M
2019 251,400 $4.96M
2020 191,024 $4.21M
2021 238,773 $5.02M
2022 233,849 $5.39M
2023 225,404 $4.21M
2024 202,920 $3.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 183,903 172,319 $7.07M
99213 127,946 120,716 $4.00M
99233 Prolong inpt eval add15 m 82,782 36,574 $2.52M
99223 Prolong inpt eval add15 m 28,589 27,871 $1.92M
99215 Prolong outpt/office vis 19,930 19,079 $920K
99232 43,652 16,990 $887K
97110 38,922 12,307 $795K
93306 17,451 14,993 $745K
77067 13,421 9,179 $601K
99239 16,630 16,073 $549K
99204 6,503 6,461 $545K
99203 9,174 9,099 $491K
43239 4,613 4,553 $446K
95180 3,300 1,184 $442K
99396 4,159 4,141 $325K
71250 5,379 3,822 $256K
92014 7,514 7,474 $250K
95165 1,527 1,515 $241K
98941 10,787 6,417 $239K
88305 4,369 4,321 $225K
99291 2,631 1,243 $224K
82306 14,460 14,307 $224K
92340 8,116 6,248 $220K
76700 5,457 3,685 $216K
J0897 Denosumab injection 823 781 $205K
77063 13,139 8,945 $201K
80050 11,745 11,629 $196K
99309 19,575 11,916 $187K
99308 25,515 15,191 $179K
78452 1,805 1,422 $175K
99205 Prolong outpt/office vis 1,746 1,730 $167K
99212 8,133 7,797 $163K
71046 14,993 10,230 $151K
83036 35,855 35,270 $150K
99222 3,267 3,159 $150K
95810 783 516 $147K
99211 9,339 8,667 $146K
95004 959 856 $138K
45385 851 824 $128K
76536 3,359 2,307 $124K
92015 9,712 9,696 $121K
45378 761 747 $116K
85025 43,114 41,600 $114K
92004 2,100 2,093 $111K
00812 1,512 1,492 $111K
U0003 Cov-19 amp prb hgh thruput 2,001 1,712 $105K
93000 13,265 12,990 $105K
84443 22,837 22,522 $104K
74177 1,043 693 $101K
45380 631 625 $94K
97162 2,596 2,586 $92K
99395 1,245 1,243 $92K
94150 9,066 3,235 $89K
99349 2,680 2,350 $81K
94060 4,368 3,014 $79K
92341 2,154 2,083 $74K
00731 891 887 $73K
11042 3,964 1,950 $69K
76642 2,172 1,294 $65K
11056 3,427 3,370 $65K
99497 6,669 6,387 $64K
73630 4,660 2,865 $62K
99220 814 802 $59K
99490 Ccm add 20min 6,892 6,852 $59K
72148 1,536 1,528 $57K
H2015 Comp comm supp svc, 15 min 551 488 $57K
82607 7,952 7,855 $56K
96372 4,751 3,922 $56K
93458 566 547 $55K
11721 4,886 4,820 $55K
98940 3,626 2,081 $55K
73560 4,094 2,414 $45K
97140 4,976 1,880 $45K
93922 2,370 1,545 $45K
77080 4,852 3,621 $45K
95800 803 447 $44K
ATP03 6,963 6,941 $44K
99238 1,787 1,748 $43K
80061 54,571 53,988 $42K
83013 870 863 $40K
20610 1,720 1,530 $39K
92557 2,308 2,228 $38K
T1502 Medication admin visit 589 178 $37K
93976 756 475 $36K
94729 2,169 1,544 $36K
74176 625 417 $36K
72100 2,925 1,877 $36K
U0005 Infec agen detec ampli probe 2,001 1,713 $36K
73562 2,509 1,460 $35K
99443 1,554 1,471 $33K
ATP18 8,084 8,063 $33K
87502 527 520 $33K
76856 838 500 $32K
91200 2,684 1,941 $32K
99442 2,572 2,348 $32K
90471 1,813 1,795 $31K
82728 5,177 5,081 $30K
87635 823 808 $29K
84480 4,750 4,700 $29K
95024 359 356 $28K
ATP14 6,115 5,976 $28K
73030 2,694 1,643 $28K
87491 979 967 $27K
87591 979 968 $27K
95117 4,223 3,570 $26K
93015 833 821 $25K
94726 1,548 1,088 $25K
A4222 Infusion supplies with pump 1,043 1,031 $25K
ATP15 5,129 4,973 $25K
00811 271 269 $25K
80053 34,575 33,776 $24K
71271 450 325 $24K
97161 623 622 $24K
73130 1,520 902 $24K
99407 948 912 $23K
99441 3,495 3,168 $23K
76981 713 478 $23K
99202 550 547 $22K
G2066 Inter devc remote 30d 1,159 1,116 $22K
36415 103,696 96,631 $22K
73502 1,807 1,170 $22K
G2211 Complex e/m visit add on 10,583 9,894 $21K
77081 3,239 2,408 $21K
84439 4,741 4,679 $21K
A0429 Bls-emergency 84 83 $20K
74019 1,780 1,208 $20K
A9500 Tc99m sestamibi 350 345 $20K
99310 Prolong nursin fac eval 15m 766 527 $20K
ATP17 7,429 7,416 $20K
97112 2,030 973 $20K
70450 553 375 $20K
84436 6,218 6,153 $20K
70553 344 343 $20K
76705 715 480 $20K
83550 5,285 5,191 $20K
70551 512 508 $19K
76830 457 273 $19K
93975 236 157 $19K
73721 479 470 $18K
93971 558 329 $18K
84479 5,873 5,814 $18K
83540 6,505 6,351 $18K
11720 2,143 2,097 $18K
11057 1,051 1,042 $17K
81001 10,908 10,588 $17K
99231 1,480 805 $17K
Q9967 Locm 300-399mg/ml iodine,1ml 4,724 4,468 $17K
92504 1,359 1,234 $17K
J2357 Omalizumab injection 661 612 $16K
92567 2,385 2,309 $16K
93298 1,263 1,216 $16K
ATP04 2,381 2,380 $16K
E0431 Portable gaseous 02 1,209 1,191 $15K
99072 20,764 18,056 $15K
90686 1,529 1,516 $15K
00813 170 167 $15K
97530 1,124 465 $15K
31231 134 132 $14K
95816 187 144 $14K
82043 6,974 6,886 $14K
99406 7,224 6,386 $14K
77065 Tomosynthesis, mammo 385 233 $14K
73610 1,185 706 $13K
83970 885 859 $13K
80305 2,127 1,769 $13K
J2704 Inj, propofol, 10 mg 5,374 5,246 $12K
43235 235 234 $12K
95806 175 104 $12K
99305 556 529 $12K
31575 197 192 $11K
82570 6,065 5,990 $11K
J7120 Ringers lactate infusion 5,264 5,196 $11K
93880 326 195 $11K
82248 16,242 15,991 $11K
93970 218 135 $11K
90688 1,734 1,634 $10K
95874 366 229 $10K
95811 56 41 $10K
A4557 Lead wires, pair 907 888 $9K
90674 896 888 $9K
95251 746 733 $9K
E0776 Iv pole 1,234 1,208 $9K
G0181 Home health care supervision 341 339 $9K
82948 2,783 2,673 $8K
G0108 Diab manage trn per indiv 359 346 $8K
76770 269 176 $8K
90670 138 124 $8K
G0299 Hhs/hospice of rn ea 15 min 104 87 $8K
A0425 Ground mileage 412 401 $8K
ATP08 2,192 2,070 $8K
G0297 Ldct for lung ca screen 125 96 $7K
72141 184 181 $7K
G0127 Trim nail(s) 1,861 1,807 $7K
99217 271 268 $7K
82746 1,372 1,340 $7K
94010 580 378 $7K
99454 859 824 $7K
99307 1,551 1,149 $7K
73110 473 250 $7K
11719 1,371 1,326 $6K
87804 405 372 $6K
86708 916 910 $6K
83735 2,499 2,408 $6K
99457 1,254 1,214 $6K
46221 41 41 $6K
87880 567 553 $6K
73565 522 299 $6K
86706 1,000 993 $6K
A4556 Electrodes, pair 910 894 $6K
99070 82 81 $5K
A4649 Surgical supplies 1,240 635 $5K
88342 206 204 $5K
85652 4,426 4,382 $5K
G0179 Md recertification hha pt 549 542 $5K
80048 12,138 11,565 $5K
70486 95 64 $5K
74178 41 28 $5K
G0008 Admin influenza virus vac 2,865 2,645 $5K
99458 883 853 $5K
97163 126 125 $5K
95044 52 27 $5K
94618 343 321 $5K
G0439 Ppps, subseq visit 2,586 2,500 $5K
86140 1,553 1,536 $4K
43249 12 12 $4K
82947 5,735 4,937 $4K
83014 773 767 $4K
A5500 Diab shoe for density insert 259 151 $4K
J3490 Drugs unclassified injection 798 747 $4K
J3301 Triamcinolone acet inj nos 1,238 1,187 $4K
76775 215 144 $4K
85610 2,196 2,118 $4K
72040 281 169 $4K
90756 337 279 $3K
83721 567 565 $3K
ATP11 717 716 $3K
99318 140 139 $3K
82962 7,204 6,760 $3K
93923 140 99 $3K
93926 48 38 $3K
J1030 Methylprednisolone 40 mg inj 680 639 $3K
90677 32 31 $3K
93010 1,077 770 $3K
ATP07 715 710 $3K
A5512 Multi den insert direct form 131 88 $3K
99000 25,915 24,902 $3K
80076 7,621 7,366 $2K
93296 389 384 $2K
88312 71 71 $2K
82565 3,175 3,144 $2K
99199 135 133 $2K
95886 55 54 $2K
99495 37 37 $2K
88313 101 101 $2K
81015 1,088 1,065 $2K
11055 127 124 $2K
74183 41 41 $2K
73221 40 36 $2K
94760 1,459 1,377 $2K
95812 79 73 $2K
G0444 Depression screen annual 1,396 1,352 $2K
73564 135 81 $2K
92012 66 66 $1K
81002 961 905 $1K
84460 3,514 3,482 $1K
A7001 Nondisposable pump canister 826 812 $1K
84450 3,535 3,504 $1K
91065 30 12 $1K
ATP13 260 260 $1K
64615 13 13 $1K
99496 29 25 $1K
99348 27 26 $1K
86803 131 130 $1K
ATP06 389 388 $1K
97535 562 561 $1K
92370 91 89 $996.90
90673 13 13 $918.39
93294 97 96 $889.42
90661 176 176 $846.70
S8301 Infect control supplies nos 82 81 $825.00
ATP02 381 374 $821.61
82550 2,286 2,237 $818.34
G0399 Home sleep test/type 3 porta 21 13 $818.06
99343 14 14 $815.46
ATP16 141 137 $803.11
94664 87 82 $756.32
99219 12 12 $727.93
93793 226 176 $696.29
99201 38 38 $671.46
87651 22 21 $618.80
90662 78 65 $615.97
ATP05 175 175 $604.50
E1399 Durable medical equipment mi 72 68 $579.31
74018 58 41 $521.10
86705 78 78 $514.46
51798 150 148 $509.05
A7002 Tubing used w suction pump 831 820 $488.09
20553 13 13 $479.75
90732 12 12 $478.58
0012A 13 13 $454.28
87340 80 80 $429.04
84520 1,264 1,252 $418.65
ATP10 91 91 $412.16
43450 12 12 $397.56
72110 20 12 $375.50
80051 637 629 $345.85
20611 12 12 $345.43
94640 48 48 $344.78
96365 18 12 $324.98
0064A 13 13 $321.09
99152 93 93 $320.90
84132 708 695 $320.55
J0585 Injection,onabotulinumtoxina 26 26 $287.37
72072 20 13 $287.22
81003 266 250 $273.39
92134 12 12 $221.18
99306 Prolong nursin fac eval 15m 27 26 $208.29
73080 20 12 $200.40
G0506 Comp asses care plan ccm svc 13 13 $189.91
G0447 Behavior counsel obesity 15m 79 63 $181.94
A4624 Tracheal suction tube 722 710 $181.17
93280 14 13 $177.75
E0700 Safety equipment 452 443 $176.28
90656 26 25 $176.16
84153 15 15 $137.12
99350 Prolong home eval add 15m 49 46 $129.87
J3420 Vitamin b12 injection 395 303 $127.94
ATP19 38 38 $125.51
99385 12 12 $103.30
86431 26 25 $95.89
76937 31 26 $95.02
G0296 Visit to determ ldct elig 25 25 $90.03
ATP09 37 36 $89.60
G0009 Admin pneumococcal vaccine 131 111 $86.56
83690 27 24 $82.09
85014 60 60 $77.28
J3010 Fentanyl citrate injection 57 57 $75.31
76514 17 17 $73.10
36416 1,382 1,265 $64.47
84550 137 135 $63.81
J1885 Ketorolac tromethamine inj 55 55 $57.57
S1015 Iv tubing extension set 42 41 $57.00
J7050 Normal saline solution infus 56 41 $51.30
85018 39 32 $40.20
99453 116 116 $19.09
95012 13 12 $17.52
J0280 Aminophyllin 250 mg inj 12 12 $13.30
J1100 Dexamethasone sodium phos 65 62 $7.88
96127 14 14 $5.52
82950 18 13 $3.60
J7620 Albuterol ipratrop non-comp 12 12 $1.03
2022F 1,009 1,006 $0.00
G8427 Docrev cur meds by elig clin 148 148 $0.00
3FA11 14 13 $0.00
A4550 Surgical trays 39 38 $0.00
G8510 Scr dep neg, no plan reqd 1,217 1,179 $0.00
2023F 626 626 $0.00
1220F 865 836 $0.00
G0442 Annual alcohol screen 15 min 15 15 $0.00
99056 13 13 $0.00