Medicaid Provider Spending

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

NPI: 1356730915 · BLOOMFIELD, NJ 07003 · Pediatrics Physician · NPI assigned 01/20/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SHULKIN, DAVID controls 11+ related entities in our dataset. Read more

$75K
Total Medicaid Paid
2,463
Total Claims
2,289
Beneficiaries
16
Codes Billed
2018-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialSHULKIN, DAVID (PRESIDENT)
NPI Enumeration Date01/20/2015

Related Entities

Other providers sharing the same authorized official: SHULKIN, DAVID

ProviderCityStateTotal Paid
PRIMARY CARE PARTNERS LLC SPARTA NJ $977K
PRIMARY CARE PARTNERS, LLC CLIFTON NJ $147K
PRIMARY CARE PARTNERS, LLC HAMBURG NJ $34K
PRIMARY CARE PARTNERS, LLC NESHANIC STATION NJ $24K
PRIMARY CARE PARTNERS, LLC BLOOMFIELD NJ $22K
PRIMARY CARE PARTNERS, LLC VERNON NJ $14K
PRIMARY CARE PARTNERS, LLC WHITEHOUSE STATION NJ $13K
PRIMARY CARE PARTNERS, LLC PARSIPPANY NJ $10K
PRIMARY CARE PARTNERS, LLC HACKETTSTOWN NJ $4K
PRIMARY CARE PARTNERS, LLC EAST BRUNSWICK NJ $2K
PRIMARY CARE PARTNERS, LLC HACKETTSTOWN NJ $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 758 $28K
2019 795 $25K
2020 264 $6K
2021 142 $5K
2022 504 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 952 843 $47K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 119 111 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 99 99 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 236 231 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 152 147 $2K
92552 210 207 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 30 30 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 27 27 $1K
90686 86 80 $977.81
99173 368 361 $573.56
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $403.72
92551 39 39 $285.09
90472 Immunization administration, each additional vaccine (list separately) 17 17 $143.22
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $101.72
91307 40 15 $0.00
94760 63 57 $0.00