Medicaid Provider Spending

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

PRIMARY MEDICINE ASSOCIATES, LLC

NPI: 1407099286 · AUBURN, AL 36830 · Family Medicine Physician · NPI assigned 04/09/2009

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

Authorized official PRICE, SAMUEL controls 20+ related entities in our dataset. Read more

$650K
Total Medicaid Paid
17,355
Total Claims
14,641
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRICE, SAMUEL (CFO)
Parent OrganizationEAST ALABAMA MEDICAL DEVELOPMENT
NPI Enumeration Date04/09/2009

Related Entities

Other providers sharing the same authorized official: PRICE, SAMUEL

ProviderCityStateTotal Paid
B. J. PRICE, INC DONIPHAN MO $12.49M
THE EAST ALABAMA HEALTH CARE AUTHORITY OPELIKA AL $6.19M
EAST ALABAMA EMS, LLC OPELIKA AL $2.58M
EAMC ER PHYSICIANS OPELIKA AL $2.55M
EAMC PHYSICIANS GROUP OPELIKA AL $1.07M
EAST ALABAMA PHYSICIANS, LLC OPELIKA AL $771K
THE EAST ALABAMA HEALTH CARE AUTHORITY VALLEY AL $582K
VALLEY AREA PRIMARY CARE, LLC VALLEY AL $502K
EAST ALABAMA MATERNAL FETAL MEDICINE AUBURN AL $341K
EAST ALABAMA HEART AND VASCULAR, LLC OPELIKA AL $297K
REHABWORKS LLC OPELIKA AL $199K
EAST ALABAMA ORTHOPAEDICS AND SPORTS MEDICINE, LLC OPELIKA AL $158K
NEUROLOGY CENTER OF EAST ALABAMA, LLC OPELIKA AL $94K
EAST ALABAMA HEALTH SERVICES LLC OPELIKA AL $54K
UROLOGY ASSOCIATES OF EAST ALABAMA LLC OPELIKA AL $31K
VALLEY INTERNAL MEDICAL ASSOCIATES LLC VALLEY AL $15K
ENDOCRINOLOGY AND METABOLISM OF EAST ALABAMA LLC OPELIKA AL $2K
EAMC-LANIER AMBULATORY SURGERY CENTER, LLC VALLEY AL $2K
EAMC EYE CLINIC, LLC OPELIKA AL $0.00
THE EAST ALABAMA HEALTH CARE AUTHORITY OPELIKA AL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 982 $59K
2019 827 $51K
2020 623 $46K
2021 1,717 $88K
2022 2,772 $119K
2023 4,807 $158K
2024 5,627 $129K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,008 7,033 $543K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,683 1,151 $57K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 410 348 $44K
36415 Collection of venous blood by venipuncture 3,237 2,739 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 86 77 $844.90
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 57 50 $477.88
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 13 $290.07
90688 13 12 $124.88
87400 12 12 $45.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $16.00
3080F 13 12 $0.00
3008F 1,984 1,640 $0.00
3079F 382 333 $0.00
3074F 910 761 $0.00
3044F 107 87 $0.00
3078F 362 297 $0.00
3077F 65 63 $0.00