Prima Care, PC
Prima Care, PC was paid $32.39M by Medicaid between Jan 2018 and Dec 2024, across 360 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoPRIMA CARE, PC
FALL RIVER, MA 02721
FALL RIVER, MA 02721
33aNPI1265422596assigned 10/27/2005
33bProvider typeErgonomics Occupational Therapist
28Total paid$32.39M
24GClaims1,599,256
24DCodes billed360
24AFirst – last monthJan 2018 – Dec 2024
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 | 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 | |
| 2024incomplete | 202,920 | $3.32M |
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 | 22% | 183,903 | 172,319 | $7.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 127,946 | 120,716 | $4.00M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.8% | 82,782 | 36,574 | $2.52M |
| 99223 | Prolong inpt eval add15 m | 5.9% | 28,589 | 27,871 | $1.92M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 19,930 | 19,079 | $920K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 43,652 | 16,990 | $887K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.5% | 38,922 | 12,307 | $795K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.3% | 17,451 | 14,993 | $745K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.9% | 13,421 | 9,179 | $601K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 16,630 | 16,073 | $549K |
| 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 | 1.7% | 6,503 | 6,461 | $545K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 9,174 | 9,099 | $491K |
348 more codes
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.4% | 4,613 | $446K |
| 95180 | 1.4% | 3,300 | $442K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 4,159 | $325K |
| 71250 | <1% | 5,379 | $256K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 7,514 | $250K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 1,527 | $241K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 10,787 | $239K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 4,369 | $225K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 2,631 | $224K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 14,460 | $224K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 8,116 | $220K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 5,457 | $216K |
| J0897 | Injection, denosumab, 1 mg | <1% | 823 | $205K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 13,139 | $201K |
| 80050 | General health panel | <1% | 11,745 | $196K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 19,575 | $187K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 25,515 | $179K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 1,805 | $175K |
| 99205 | Prolong outpt/office vis | <1% | 1,746 | $167K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,133 | $163K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14,993 | $151K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 35,855 | $150K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 3,267 | $150K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 783 | $147K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 9,339 | $146K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 959 | $138K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 851 | $128K |
| 76536 | <1% | 3,359 | $124K | |
| 92015 | Determination of refractive state | <1% | 9,712 | $121K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 761 | $116K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 43,114 | $114K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,100 | $111K |
| 00812 | <1% | 1,512 | $111K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 2,001 | $105K |
| 93000 | <1% | 13,265 | $105K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 22,837 | $104K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 1,043 | $101K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 631 | $94K |
| 97162 | <1% | 2,596 | $92K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,245 | $92K |
| 94150 | <1% | 9,066 | $89K | |
| 99349 | <1% | 2,680 | $81K | |
| 94060 | <1% | 4,368 | $79K | |
| 92341 | <1% | 2,154 | $74K | |
| 00731 | <1% | 891 | $73K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 3,964 | $69K |
| 76642 | <1% | 2,172 | $65K | |
| 11056 | <1% | 3,427 | $65K | |
| 99497 | <1% | 6,669 | $64K | |
| 73630 | <1% | 4,660 | $62K | |
| 99220 | <1% | 814 | $59K | |
| 99490 | Ccm add 20min | <1% | 6,892 | $59K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 1,536 | $57K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 551 | $57K |
| 82607 | <1% | 7,952 | $56K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,751 | $56K |
| 93458 | <1% | 566 | $55K | |
| 11721 | <1% | 4,886 | $55K | |
| 98940 | <1% | 3,626 | $55K | |
| 73560 | <1% | 4,094 | $45K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 4,976 | $45K |
| 93922 | <1% | 2,370 | $45K | |
| 77080 | <1% | 4,852 | $45K | |
| 95800 | <1% | 803 | $44K | |
| ATP03 | <1% | 6,963 | $44K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,787 | $43K |
| 80061 | Lipid panel | <1% | 54,571 | $42K |
| 83013 | <1% | 870 | $40K | |
| 20610 | <1% | 1,720 | $39K | |
| 92557 | <1% | 2,308 | $38K | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 589 | $37K |
| 93976 | <1% | 756 | $36K | |
| 94729 | <1% | 2,169 | $36K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 625 | $36K |
| 72100 | <1% | 2,925 | $36K | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 2,001 | $36K |
| 73562 | <1% | 2,509 | $35K | |
| 99443 | <1% | 1,554 | $33K | |
| ATP18 | <1% | 8,084 | $33K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 527 | $33K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 838 | $32K |
| 91200 | <1% | 2,684 | $32K | |
| 99442 | <1% | 2,572 | $32K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,813 | $31K |
| 82728 | <1% | 5,177 | $30K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 823 | $29K |
| 84480 | <1% | 4,750 | $29K | |
| 95024 | <1% | 359 | $28K | |
| ATP14 | <1% | 6,115 | $28K | |
| 73030 | <1% | 2,694 | $28K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 979 | $27K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 979 | $27K |
| 95117 | <1% | 4,223 | $26K | |
| 93015 | <1% | 833 | $25K | |
| 94726 | <1% | 1,548 | $25K | |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 1,043 | $25K |
| ATP15 | <1% | 5,129 | $25K | |
| 00811 | <1% | 271 | $25K | |
| 80053 | Comprehensive metabolic panel | <1% | 34,575 | $24K |
| 71271 | <1% | 450 | $24K | |
| 97161 | <1% | 623 | $24K | |
| 73130 | <1% | 1,520 | $24K | |
| 99407 | <1% | 948 | $23K | |
| 99441 | <1% | 3,495 | $23K | |
| 76981 | <1% | 713 | $23K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 550 | $22K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 1,159 | $22K |
| 36415 | Collection of venous blood by venipuncture | <1% | 103,696 | $22K |
| 73502 | <1% | 1,807 | $22K | |
| 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% | 10,583 | $21K |
| 77081 | <1% | 3,239 | $21K | |
| 84439 | <1% | 4,741 | $21K | |
| A0429 | Emergency ambulance ride, basic life support | <1% | 84 | $20K |
| 74019 | <1% | 1,780 | $20K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 350 | $20K |
| 99310 | Prolong nursin fac eval 15m | <1% | 766 | $20K |
| ATP17 | <1% | 7,429 | $20K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 2,030 | $20K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 553 | $20K |
| 84436 | <1% | 6,218 | $20K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 344 | $20K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 715 | $20K |
| 83550 | <1% | 5,285 | $20K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 512 | $19K |
| 76830 | Ultrasound, transvaginal | <1% | 457 | $19K |
| 93975 | <1% | 236 | $19K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 479 | $18K |
| 93971 | <1% | 558 | $18K | |
| 84479 | <1% | 5,873 | $18K | |
| 83540 | <1% | 6,505 | $18K | |
| 11720 | <1% | 2,143 | $18K | |
| 11057 | <1% | 1,051 | $17K | |
| 81001 | <1% | 10,908 | $17K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,480 | $17K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 4,724 | $17K |
| 92504 | <1% | 1,359 | $17K | |
| J2357 | Injection, omalizumab, 5 mg | <1% | 661 | $16K |
| 92567 | <1% | 2,385 | $16K | |
| 93298 | <1% | 1,263 | $16K | |
| ATP04 | <1% | 2,381 | $16K | |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 1,209 | $15K |
| 99072 | <1% | 20,764 | $15K | |
| 90686 | <1% | 1,529 | $15K | |
| 00813 | <1% | 170 | $15K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,124 | $15K |
| 31231 | <1% | 134 | $14K | |
| 95816 | <1% | 187 | $14K | |
| 82043 | <1% | 6,974 | $14K | |
| 99406 | <1% | 7,224 | $14K | |
| 77065 | Tomosynthesis, mammo | <1% | 385 | $14K |
| 73610 | <1% | 1,185 | $13K | |
| 83970 | <1% | 885 | $13K | |
| 80305 | <1% | 2,127 | $13K | |
| J2704 | Injection, propofol, 10 mg | <1% | 5,374 | $12K |
| 43235 | <1% | 235 | $12K | |
| 95806 | <1% | 175 | $12K | |
| 99305 | <1% | 556 | $12K | |
| 31575 | <1% | 197 | $11K | |
| 82570 | <1% | 6,065 | $11K | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 5,264 | $11K |
| 93880 | <1% | 326 | $11K | |
| 82248 | <1% | 16,242 | $11K | |
| 93970 | <1% | 218 | $11K | |
| 90688 | <1% | 1,734 | $10K | |
| 95874 | <1% | 366 | $10K | |
| 95811 | <1% | 56 | $10K | |
| A4557 | Lead wires, (e.g., apnea monitor), per pair | <1% | 907 | $9K |
| 90674 | <1% | 896 | $9K | |
| 95251 | <1% | 746 | $9K | |
| E0776 | Iv pole | <1% | 1,234 | $9K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 341 | $9K |
| 82948 | <1% | 2,783 | $8K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 359 | $8K |
| 76770 | <1% | 269 | $8K | |
| 90670 | <1% | 138 | $8K | |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 104 | $8K |
| A0425 | Ground mileage, per statute mile | <1% | 412 | $8K |
| ATP08 | <1% | 2,192 | $8K | |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | <1% | 125 | $7K |
| 72141 | <1% | 184 | $7K | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 1,861 | $7K |
| 99217 | <1% | 271 | $7K | |
| 82746 | <1% | 1,372 | $7K | |
| 94010 | <1% | 580 | $7K | |
| 99454 | <1% | 859 | $7K | |
| 99307 | <1% | 1,551 | $7K | |
| 73110 | <1% | 473 | $7K | |
| 11719 | <1% | 1,371 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 405 | $6K |
| 86708 | <1% | 916 | $6K | |
| 83735 | <1% | 2,499 | $6K | |
| 99457 | <1% | 1,254 | $6K | |
| 46221 | <1% | 41 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 567 | $6K |
| 73565 | <1% | 522 | $6K | |
| 86706 | <1% | 1,000 | $6K | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | <1% | 910 | $6K |
| 99070 | <1% | 82 | $5K | |
| A4649 | Surgical supply; miscellaneous | <1% | 1,240 | $5K |
| 88342 | <1% | 206 | $5K | |
| 85652 | <1% | 4,426 | $5K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 549 | $5K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 12,138 | $5K |
| 70486 | <1% | 95 | $5K | |
| 74178 | <1% | 41 | $5K | |
| G0008 | Administration of influenza virus vaccine | <1% | 2,865 | $5K |
| 99458 | <1% | 883 | $5K | |
| 97163 | <1% | 126 | $5K | |
| 95044 | <1% | 52 | $5K | |
| 94618 | <1% | 343 | $5K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 2,586 | $5K |
| 86140 | <1% | 1,553 | $4K | |
| 43249 | <1% | 12 | $4K | |
| 82947 | <1% | 5,735 | $4K | |
| 83014 | <1% | 773 | $4K | |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | <1% | 259 | $4K |
| J3490 | Unclassified drugs | <1% | 798 | $4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,238 | $4K |
| 76775 | <1% | 215 | $4K | |
| 85610 | <1% | 2,196 | $4K | |
| 72040 | <1% | 281 | $4K | |
| 90756 | <1% | 337 | $3K | |
| 83721 | <1% | 567 | $3K | |
| ATP11 | <1% | 717 | $3K | |
| 99318 | <1% | 140 | $3K | |
| 82962 | <1% | 7,204 | $3K | |
| 93923 | <1% | 140 | $3K | |
| 93926 | <1% | 48 | $3K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 680 | $3K |
| 90677 | <1% | 32 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,077 | $3K |
| ATP07 | <1% | 715 | $3K | |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | <1% | 131 | $3K |
| 99000 | <1% | 25,915 | $3K | |
| 80076 | <1% | 7,621 | $2K | |
| 93296 | <1% | 389 | $2K | |
| 88312 | <1% | 71 | $2K | |
| 82565 | <1% | 3,175 | $2K | |
| 99199 | Unlisted special service, procedure or report | <1% | 135 | $2K |
| 95886 | <1% | 55 | $2K | |
| 99495 | <1% | 37 | $2K | |
| 88313 | <1% | 101 | $2K | |
| 81015 | <1% | 1,088 | $2K | |
| 11055 | <1% | 127 | $2K | |
| 74183 | <1% | 41 | $2K | |
| 73221 | <1% | 40 | $2K | |
| 94760 | <1% | 1,459 | $2K | |
| 95812 | <1% | 79 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,396 | $2K |
| 73564 | <1% | 135 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 66 | $1K |
| 81002 | <1% | 961 | $1K | |
| 84460 | <1% | 3,514 | $1K | |
| A7001 | Canister, non-disposable, used with suction pump, each | <1% | 826 | $1K |
| 84450 | <1% | 3,535 | $1K | |
| 91065 | <1% | 30 | $1K | |
| ATP13 | <1% | 260 | $1K | |
| 64615 | <1% | 13 | $1K | |
| 99496 | <1% | 29 | $1K | |
| 99348 | <1% | 27 | $1K | |
| 86803 | <1% | 131 | $1K | |
| ATP06 | <1% | 389 | $1K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 562 | $1K |
| 92370 | <1% | 91 | $996.90 | |
| 90673 | <1% | 13 | $918.39 | |
| 93294 | <1% | 97 | $889.42 | |
| 90661 | <1% | 176 | $846.70 | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 82 | $825.00 |
| ATP02 | <1% | 381 | $821.61 | |
| 82550 | <1% | 2,286 | $818.34 | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 21 | $818.06 |
| 99343 | <1% | 14 | $815.46 | |
| ATP16 | <1% | 141 | $803.11 | |
| 94664 | <1% | 87 | $756.32 | |
| 99219 | <1% | 12 | $727.93 | |
| 93793 | <1% | 226 | $696.29 | |
| 99201 | <1% | 38 | $671.46 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 22 | $618.80 |
| 90662 | <1% | 78 | $615.97 | |
| ATP05 | <1% | 175 | $604.50 | |
| E1399 | Durable medical equipment, miscellaneous | <1% | 72 | $579.31 |
| 74018 | <1% | 58 | $521.10 | |
| 86705 | <1% | 78 | $514.46 | |
| 51798 | <1% | 150 | $509.05 | |
| A7002 | Tubing, used with suction pump, each | <1% | 831 | $488.09 |
| 20553 | <1% | 13 | $479.75 | |
| 90732 | <1% | 12 | $478.58 | |
| 0012A | <1% | 13 | $454.28 | |
| 87340 | <1% | 80 | $429.04 | |
| 84520 | <1% | 1,264 | $418.65 | |
| ATP10 | <1% | 91 | $412.16 | |
| 43450 | <1% | 12 | $397.56 | |
| 72110 | <1% | 20 | $375.50 | |
| 80051 | <1% | 637 | $345.85 | |
| 20611 | <1% | 12 | $345.43 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 48 | $344.78 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 18 | $324.98 |
| 0064A | <1% | 13 | $321.09 | |
| 99152 | <1% | 93 | $320.90 | |
| 84132 | <1% | 708 | $320.55 | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 26 | $287.37 |
| 72072 | <1% | 20 | $287.22 | |
| 81003 | <1% | 266 | $273.39 | |
| 92134 | <1% | 12 | $221.18 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 27 | $208.29 |
| 73080 | <1% | 20 | $200.40 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 13 | $189.91 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 79 | $181.94 |
| A4624 | Tracheal suction catheter, any type other than closed system, each | <1% | 722 | $181.17 |
| 93280 | <1% | 14 | $177.75 | |
| E0700 | Safety equipment, device or accessory, any type | <1% | 452 | $176.28 |
| 90656 | <1% | 26 | $176.16 | |
| 84153 | <1% | 15 | $137.12 | |
| 99350 | Prolong home eval add 15m | <1% | 49 | $129.87 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 395 | $127.94 |
| ATP19 | <1% | 38 | $125.51 | |
| 99385 | <1% | 12 | $103.30 | |
| 86431 | <1% | 26 | $95.89 | |
| 76937 | <1% | 31 | $95.02 | |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 25 | $90.03 |
| ATP09 | <1% | 37 | $89.60 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 131 | $86.56 |
| 83690 | <1% | 27 | $82.09 | |
| 85014 | <1% | 60 | $77.28 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 57 | $75.31 |
| 76514 | <1% | 17 | $73.10 | |
| 36416 | <1% | 1,382 | $64.47 | |
| 84550 | <1% | 137 | $63.81 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 55 | $57.57 |
| S1015 | Iv tubing extension set | <1% | 42 | $57.00 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 56 | $51.30 |
| 85018 | <1% | 39 | $40.20 | |
| 99453 | <1% | 116 | $19.09 | |
| 95012 | <1% | 13 | $17.52 | |
| J0280 | Injection, aminophyllin, up to 250 mg | <1% | 12 | $13.30 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 65 | $7.88 |
| 96127 | <1% | 14 | $5.52 | |
| 82950 | <1% | 18 | $3.60 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 12 | $1.03 |
| 2022F | 0% | 1,009 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 148 | $0.00 |
| 3FA11 | 0% | 14 | $0.00 | |
| A4550 | Surgical trays | 0% | 39 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,217 | $0.00 |
| 2023F | 0% | 626 | $0.00 | |
| 1220F | 0% | 865 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 15 | $0.00 |
| 99056 | 0% | 13 | $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 officialGOMES, LAUREN (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Modern Family Chiropractic, PLLC | Sterling Heights, MI | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.