Physician
Prism Medical Associates, PC
Prism Medical Associates, PC was paid $994K by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoPRISM MEDICAL ASSOCIATES, PC
ALMA, MI 48801
ALMA, MI 48801
33aNPI1407264237assigned 07/24/2014
33bProvider typeFamily Medicine Physician
28Total paid$994K
24GClaims60,750
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#142 of 826
Median peer was paid$98K
This provider vs. median10×
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 | 3,369 | $110K | |
| 2019 | 4,913 | $141K | |
| 2020 | 4,079 | $99K | |
| 2021 | 5,994 | $119K | |
| 2022 | 11,817 | $149K | |
| 2023 | 14,734 | $193K | |
| 2024incomplete | 15,844 | $183K |
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 | 56% | 7,042 | 6,393 | $553K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 5,741 | 4,989 | $346K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.0% | 353 | 339 | $40K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 176 | 158 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 1,296 | 995 | $10K |
| 99406 | <1% | 986 | 871 | $8K | |
| 96127 | <1% | 809 | 791 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 290 | 273 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 26 | 26 | $2K |
| 96160 | <1% | 294 | 286 | $2K | |
| 99443 | <1% | 70 | 66 | $2K | |
| 90756 | <1% | 71 | 70 | $1K |
49 more codes
| 83037 | <1% | 199 | $1K | |
| 99442 | <1% | 25 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 132 | $1K |
| 99408 | <1% | 354 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | $805.14 |
| 90686 | <1% | 44 | $741.16 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 15 | $581.72 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 55 | $514.40 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 337 | $425.31 |
| 90656 | <1% | 17 | $385.59 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $297.61 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 13 | $271.92 |
| 90688 | <1% | 18 | $227.52 | |
| 99402 | <1% | 13 | $200.37 | |
| 99407 | <1% | 15 | $191.17 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 101 | $162.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 69 | $147.02 |
| 81002 | <1% | 25 | $64.54 | |
| 3008F | <1% | 7,970 | $2.34 | |
| 1159F | <1% | 6,894 | $1.97 | |
| 3074F | <1% | 4,802 | $1.61 | |
| 2010F | <1% | 6,500 | $1.53 | |
| 3078F | <1% | 3,790 | $1.31 | |
| 3079F | <1% | 3,163 | $0.60 | |
| 3700F | <1% | 780 | $0.45 | |
| 3075F | <1% | 1,759 | $0.25 | |
| 3077F | <1% | 498 | $0.16 | |
| 1034F | <1% | 616 | $0.14 | |
| 1033F | <1% | 65 | $0.04 | |
| 3080F | <1% | 117 | $0.03 | |
| 4013F | <1% | 35 | $0.01 | |
| 1036F | 0% | 1,080 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,231 | $0.00 |
| 1111F | 0% | 444 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 43 | $0.00 |
| 2000F | 0% | 15 | $0.00 | |
| 3044F | 0% | 66 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 62 | $0.00 |
| 4010F | 0% | 18 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 194 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 192 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 229 | $0.00 |
| G9920 | Screening performed and negative | 0% | 170 | $0.00 |
| 99072 | 0% | 925 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 55 | $0.00 |
| 3725F | 0% | 270 | $0.00 | |
| 98960 | 0% | 73 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 31 | $0.00 |
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 officialSARVEPALLI, PRAKASH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Great Lakes Medical Associates, PC | Edmore, MI | $2.04M |
| Isabella Medical Associates, PLLC | Edmore, MI | $120K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.