Physician
Primary Care Associates PC
Primary Care Associates PC was paid $1.51M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoPRIMARY CARE ASSOCIATES PC
BARTLESVILLE, OK 74006
BARTLESVILLE, OK 74006
33aNPI1275528630assigned 09/13/2005
33bProvider typePediatrics Physician
28Total paid$1.51M
24GClaims25,146
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#14 of 94
Median peer was paid$204K
This provider vs. median7.4×
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 | 3,498 | $177K | |
| 2019 | 3,889 | $191K | |
| 2020 | 2,902 | $129K | |
| 2021 | 3,208 | $203K | |
| 2022 | 4,950 | $354K | |
| 2023 | 5,075 | $353K | |
| 2024incomplete | 1,624 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 10,906 | 10,292 | $734K |
| 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 | 36% | 6,454 | 6,170 | $548K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.9% | 2,138 | 1,767 | $44K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.7% | 843 | 669 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.3% | 1,091 | 1,087 | $35K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 233 | 233 | $24K |
| 99307 | 1.3% | 2,002 | 1,509 | $20K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 144 | 144 | $13K |
| 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% | 132 | 132 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 259 | 252 | $12K |
| 87428 | <1% | 156 | 153 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 302 | 294 | $8K |
9 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 145 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 25 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 15 | $1K |
| 90674 | <1% | 33 | $993.74 | |
| 99051 | <1% | 41 | $258.50 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 12 | $198.97 |
| 90686 | <1% | 187 | $193.15 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $176.54 |
| 90688 | 0% | 12 | $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 officialDANIEL, MAUREEN (OPERATIONS MANAGER)