Physician
Premier Health Care, LLC
Premier Health Care, LLC was paid $686K by Medicaid between Jan 2018 and May 2023, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 54% of everything it billed.
33Billing provider infoPREMIER HEALTH CARE, LLC
SILVER SPRING, MD 20904
SILVER SPRING, MD 20904
33aNPI1285017822assigned 07/01/2015
33bProvider typePsychiatry Physician
28Total paid$686K
24GClaims9,378
24DCodes billed10
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Psychiatry Physician providers in Maryland
Rank by total paid#33 of 229
Median peer was paid$82K
This provider vs. median8.3×
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 | 1,383 | $135K | |
| 2019 | 794 | $58K | |
| 2020 | 5,763 | $460K | |
| 2021 | 964 | $18K | |
| 2022 | 327 | $13K | |
| 2023 | 147 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 54% | 6,117 | 1,693 | $372K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 13% | 939 | 539 | $90K |
| 99223 | Prolong inpt eval add15 m | 13% | 612 | 578 | $88K |
| 99239 | Hospital discharge day management, more than 30 minutes | 6.1% | 562 | 513 | $42K |
| 99253 | 6.0% | 379 | 137 | $41K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.7% | 366 | 180 | $25K |
| 99255 | 2.3% | 89 | 80 | $16K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 61 | 61 | $8K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 239 | 230 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | 14 | $2K |
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 officialDOCKERY, TONYA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Premier Health Care LLC | Silver Spring, MD | $2.40M |
| Premier Health Care LLC | Clinton, MD | $365K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.