PRIME IMMEDIATE CARE LLC
NPI: 1396924635
· DOUGLASVILLE, GA 30134
· 261QU0200X
$944K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,170 |
$117K |
| 2019 |
2,241 |
$123K |
| 2020 |
1,531 |
$92K |
| 2021 |
1,880 |
$141K |
| 2022 |
2,070 |
$194K |
| 2023 |
2,460 |
$184K |
| 2024 |
1,216 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
7,880 |
7,393 |
$496K |
| 99214 |
|
2,276 |
2,193 |
$218K |
| 99203 |
|
2,031 |
1,981 |
$178K |
| 99204 |
|
267 |
266 |
$42K |
| 96372 |
|
423 |
407 |
$7K |
| 94640 |
|
84 |
82 |
$1K |
| 87635 |
|
18 |
18 |
$845.17 |
| 81050 |
|
44 |
44 |
$150.90 |
| 81002 |
|
52 |
51 |
$139.65 |
| J1100 |
Dexamethasone sodium phos |
415 |
403 |
$45.34 |
| J7613 |
Albuterol non-comp unit |
78 |
76 |
$7.23 |