Medicaid Provider Spending

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

PRIMARY CARE MEDICAL CENTER INC

NPI: 1295716694 · MURRAY, KY 42071 · Internal Medicine Physician · NPI assigned 11/11/2005

$3.69M
Total Medicaid Paid
162,643
Total Claims
139,508
Beneficiaries
93
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialHUGHES, ROBERT (MANAGING PARTNER)
NPI Enumeration Date11/11/2005

Related Entities

Other providers sharing the same authorized official: HUGHES, ROBERT

ProviderCityStateTotal Paid
LINE OF SIGHT EYE CARE, PLLC FORT SMITH AR $31K
TULLY CENTRAL SCHOOL DISTRICT TULLY NY $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 82,058 $1.91M
2019 64,880 $1.38M
2020 15,705 $388K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,948 43,853 $1.81M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,931 8,058 $471K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 9,692 5,100 $162K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,913 14,344 $150K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,671 1,471 $105K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,194 1,133 $87K
87430 5,516 5,189 $83K
90460 Immunization administration through 18 years of age via any route, first or only component 2,829 2,713 $82K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 929 902 $69K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,225 3,718 $61K
80048 Basic metabolic panel (calcium, ionized) 6,376 5,794 $52K
80076 3,172 2,936 $34K
90461 1,314 1,268 $34K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 397 381 $33K
80061 Lipid panel 2,375 2,215 $31K
99232 Subsequent hospital care, per day, moderate complexity 1,604 374 $30K
76830 Ultrasound, transvaginal 509 468 $28K
96110 Developmental screening, with scoring and documentation, per standardized instrument 888 722 $25K
36415 Collection of venous blood by venipuncture 8,914 7,973 $22K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 486 395 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 893 823 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 425 346 $20K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 295 274 $18K
81001 4,792 4,441 $15K
84443 Thyroid stimulating hormone (TSH) 824 780 $15K
J0696 Injection, ceftriaxone sodium, per 250 mg 519 454 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 175 168 $13K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 922 861 $13K
84702 611 475 $12K
83655 708 676 $10K
83036 Hemoglobin; glycosylated (A1C) 1,323 1,177 $10K
87807 708 658 $10K
99223 Prolong inpt eval add15 m 164 140 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 137 121 $8K
76819 Fetal biophysical profile; without non-stress testing 268 97 $8K
99051 824 805 $7K
90686 693 661 $7K
76801 112 106 $7K
84439 677 642 $6K
99308 Subsequent nursing facility care, per day, straightforward 1,376 978 $6K
59025 Fetal non-stress test 240 164 $6K
84703 572 536 $6K
92551 423 398 $5K
93000 219 211 $4K
99239 Hospital discharge day management, more than 30 minutes 153 131 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 295 276 $4K
59430 119 81 $4K
71046 Radiologic examination, chest; 2 views 306 264 $4K
87220 670 619 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 77 74 $4K
99050 136 131 $3K
97802 394 374 $3K
99215 Prolong outpt/office vis 62 56 $2K
96127 642 603 $2K
90670 700 673 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 25 22 $1K
99233 Prolong inpt eval add15 m 29 12 $1K
94060 29 28 $1K
99188 66 61 $1K
90633 696 670 $1K
36416 7,561 6,827 $870.80
90723 555 535 $796.66
81003 883 788 $791.18
82950 159 138 $742.39
J1885 Injection, ketorolac tromethamine, per 15 mg 68 60 $640.62
85651 94 83 $561.08
99238 Hospital discharge day management, 30 minutes or less 14 13 $552.26
83690 39 39 $474.16
82150 38 38 $393.41
86677 25 25 $392.07
99201 14 13 $387.94
90647 443 424 $372.40
99000 428 392 $274.16
90681 185 175 $237.53
90734 144 142 $227.81
90685 48 47 $125.81
96161 41 37 $112.38
90620 22 22 $55.25
90715 52 52 $55.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 14 13 $44.80
90651 49 49 $36.80
90710 29 28 $18.40
G0008 Administration of influenza virus vaccine 45 40 $9.84
99497 13 12 $3.29
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 318 280 $0.00
99024 62 53 $0.00
1170F 18 16 $0.00
0518F 18 16 $0.00
3288F 18 16 $0.00
1124F 16 14 $0.00
99499 12 12 $0.00
90672 24 23 $0.00