Medicaid Provider Spending

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

PRIMA INC

NPI: 1285664524 · CUMBERLAND, RI 02864 · Pediatrics Physician · NPI assigned 07/03/2006

$1.01M
Total Medicaid Paid
21,976
Total Claims
20,063
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialO'SHEA, CAROL (PEDIATRICIAN)
NPI Enumeration Date07/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,379 $127K
2019 6,588 $245K
2020 2,369 $84K
2021 2,232 $90K
2022 2,292 $135K
2023 1,992 $131K
2024 3,124 $201K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,143 6,155 $450K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,927 2,697 $264K
92587 1,084 1,066 $60K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 370 360 $45K
90460 Immunization administration through 18 years of age via any route, first or only component 2,906 2,763 $44K
97802 1,835 1,754 $35K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,039 1,956 $27K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 235 229 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 156 156 $15K
90461 435 407 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 79 79 $8K
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) 515 479 $6K
99215 Prolong outpt/office vis 49 41 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 429 414 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 130 127 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 310 126 $3K
99177 335 330 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 83 71 $1K
81002 485 475 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 35 35 $861.45
99050 13 12 $536.52
92552 29 29 $484.93
96127 165 135 $469.33
0071A 12 12 $389.90
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 82 71 $209.67
99188 13 13 $175.50
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 82 71 $3.08