Clinic
Prime Care 12 Priority Health INC.
Prime Care 12 Priority Health INC. was paid $53K by Medicaid between Jan 2023 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoPRIME CARE 12 PRIORITY HEALTH INC.
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1306569868assigned 09/20/2022
33bProvider typePrimary Care Clinic/Center
28Total paid$53K
24GClaims1,449
24DCodes billed8
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in West Virginia
Rank by total paid#13 of 23
Median peer was paid$128K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2023 | 723 | $25K | |
| 2024incomplete | 726 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 415 | 377 | $22K |
| 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 | 20% | 149 | 138 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 17% | 304 | 249 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 187 | 172 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 147 | 127 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 122 | 51 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.8% | 54 | 43 | $975.80 |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 71 | 68 | $600.60 |
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 officialVEST, SHAWN (NP/OWNER)