Prime Rheumatology Center PLLC
Prime Rheumatology Center PLLC was paid $120K by Medicaid between Jan 2018 and Apr 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.
33Billing provider infoPRIME RHEUMATOLOGY CENTER PLLC
WYANDOTTE, MI 48192
WYANDOTTE, MI 48192
33aNPI1295191484assigned 01/05/2016
33bProvider typeSpecialist
28Total paid$120K
24GClaims3,136
24DCodes billed11
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#82 of 181
Median peer was paid$94K
This provider vs. median1.3×
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 | 1,097 | $31K | |
| 2019 | 793 | $19K | |
| 2020 | 526 | $23K | |
| 2021 | 347 | $21K | |
| 2022 | 277 | $19K | |
| 2023 | 96 | $6K |
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 | 91% | 1,777 | 1,752 | $109K |
| 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 | 9.1% | 125 | 124 | $11K |
| 1170F | <1% | 97 | 97 | $0.11 | |
| 3008F | <1% | 269 | 259 | $0.02 | |
| 1006F | 0% | 301 | 292 | $0.00 | |
| 3074F | 0% | 83 | 78 | $0.00 | |
| 3079F | 0% | 29 | 25 | $0.00 | |
| 3080F | 0% | 12 | 12 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 131 | 126 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 300 | 292 | $0.00 |
| 3078F | 0% | 12 | 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 officialVENKATRAM, MALINI (MD)