Medicaid Provider Spending

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

PREMIER MEDICINE AND WELLNESS LLC

NPI: 1346591351 · BORDENTOWN, NJ 08505 · Internal Medicine Physician · NPI assigned 10/01/2012

$92K
Total Medicaid Paid
2,473
Total Claims
2,172
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialPOTHARLANKA, PRATHIBHA (PRESIDENT)
NPI Enumeration Date10/01/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 349 $16K
2019 920 $35K
2020 720 $26K
2021 459 $14K
2022 25 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 864 757 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,142 988 $40K
90460 Immunization administration through 18 years of age via any route, first or only component 156 145 $2K
93924 27 24 $1K
99401 55 50 $1K
92552 28 27 $362.82
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 15 $117.28
99173 54 52 $86.99
1111F 44 39 $6.00
99072 88 75 $0.00