Prime-Care 12, INC

Prime-Care 12, INC was paid $71K by Medicaid between Jan 2018 and Dec 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.

33Billing provider infoPRIME-CARE 12, INC
PRINCETON, WV 24740

33aNPI1396843199assigned 09/20/2006

33bProvider typeFamily Medicine Physician

28Total paid$71K

24GClaims1,410

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#129 of 202

Median peer was paid$172K

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
2018	523	$24K
2019	122	$7K
2020	407	$21K
2021	271	$14K
2022	87	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	84%	988	834	$60K
36415	Collection of venous blood by venipuncture	9.9%	333	306	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.2%	66	55	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.5%	23	23	$1K

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 officialNERI, FLORENCIO (PRESIDENT)