Prime Medical Associates,llc

Prime Medical Associates,llc was paid $3.59M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

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	14,200	$722K
2019	10,481	$587K
2020	10,929	$518K
2021	17,847	$650K
2022	16,503	$672K
2023	13,522	$295K
2024incomplete	7,244	$142K

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	41%	33,274	29,947	$1.46M
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	32%	19,966	18,976	$1.14M
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	5.4%	2,391	2,388	$192K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	3.4%	1,474	1,473	$123K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.0%	1,451	1,403	$108K
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	2.4%	797	791	$85K
99442		1.8%	4,374	4,081	$66K
99308	Subsequent nursing facility care, per day, straightforward	1.2%	3,578	2,037	$43K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	1,587	1,498	$42K
99443		<1%	1,564	1,494	$35K
93000		<1%	2,926	2,884	$32K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,850	1,675	$28K

50 more codes

99491	Ccm add 20min	<1%	2,401	$26K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	1,329	$25K
95819		<1%	165	$23K
99205	Prolong outpt/office vis	<1%	163	$20K
99441		<1%	2,079	$17K
95886		<1%	288	$10K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	825	$10K
90674		<1%	369	$9K
99490	Ccm add 20min	<1%	1,115	$9K
99385		<1%	106	$6K
95912		<1%	64	$6K
90686		<1%	325	$6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	880	$4K
90688		<1%	288	$4K
99457		<1%	374	$4K
99401		<1%	118	$4K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	177	$3K
90694		<1%	213	$3K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	244	$3K
99454		<1%	192	$3K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	1,431	$3K
90837	Psychotherapy session, about an hour	<1%	85	$3K
G0008	Administration of influenza virus vaccine	<1%	525	$3K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	<1%	41	$2K
H2015	Community support for mental illness or disability, per 15 minutes	<1%	16	$2K
80305		<1%	247	$2K
99318		<1%	68	$2K
99306	Prolong nursin fac eval 15m	<1%	121	$2K
G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	<1%	25	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	26	$2K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	37	$2K
90653		<1%	134	$2K
99203	Doctor's office visit, new patient (routine)	<1%	83	$1K
97164		<1%	38	$1K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	87	$1K
97161		<1%	19	$930.51
97124		<1%	74	$824.31
97014		<1%	68	$686.54
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	15	$488.07
99497		<1%	33	$414.70
71046	Radiologic examination, chest; 2 views	<1%	27	$324.33
97035		<1%	26	$277.92
11100		<1%	14	$271.10
11101		<1%	14	$154.08
99000		<1%	303	$150.62
99453		<1%	41	$147.81
97010		<1%	133	$145.54
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	17	$122.06
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	16	$21.07
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	15	$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 officialFALLA, PEDRO (PARTNER/MANAGER)