Paul E Pritchett SR MD LLC

Paul E Pritchett SR MD LLC was paid $54K by Medicaid between Jan 2020 and Dec 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoPAUL E PRITCHETT SR MD LLC
LA PLATA, MD 20646

33aNPI1275843468assigned 10/21/2010

33bProvider typeFamily Medicine Physician

28Total paid$54K

24GClaims998

24DCodes billed3

24AFirst – last monthJan 2020 – Dec 2022

Compared with peers

Next to other Family Medicine Physician providers in Maryland

Rank by total paid#158 of 287

Median peer was paid$78K

This provider vs. median0.7×

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
2020	538	$45K
2021	362	$4K
2022	98	$4K

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	79%	445	374	$42K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12%	150	115	$7K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	8.8%	403	195	$5K

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 officialPRITCHETT,, PAUL (PRESIDENT)