Physician
Prime Pediatrics and Adolescents
Prime Pediatrics and Adolescents was paid $2.86M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoPRIME PEDIATRICS AND ADOLESCENTS
FLINT, MI 48532
FLINT, MI 48532
33aNPI1467782805assigned 01/07/2010
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.86M
24GClaims79,340
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Michigan
Rank by total paid#9 of 46
Median peer was paid$567K
This provider vs. median5.0×
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 | 10,229 | $332K | |
| 2019 | 10,771 | $322K | |
| 2020 | 9,417 | $277K | |
| 2021 | 10,862 | $350K | |
| 2022 | 13,102 | $508K | |
| 2023 | 13,834 | $576K | |
| 2024incomplete | 11,125 | $499K |
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 | 30% | 9,001 | 8,453 | $857K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 7,146 | 6,778 | $460K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 5,326 | 5,316 | $451K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 3,794 | 3,789 | $319K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 4,127 | 4,085 | $293K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.3% | 7,621 | 7,546 | $151K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 1,067 | 1,065 | $97K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 7,350 | 7,293 | $81K |
| 99381 | 1.8% | 576 | 575 | $50K | |
| 90671 | 1.6% | 315 | 315 | $46K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,092 | 1,087 | $18K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 643 | 643 | $14K |
39 more codes
| 36416 | <1% | 876 | $4K | |
| 99383 | <1% | 37 | $3K | |
| 87430 | <1% | 466 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51 | $2K |
| 81002 | <1% | 882 | $2K | |
| 90740 | <1% | 27 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 54 | $2K |
| 97802 | <1% | 4,755 | $2K | |
| 99382 | <1% | 14 | $1K | |
| 90474 | <1% | 85 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 127 | $802.77 |
| 85018 | <1% | 228 | $450.94 | |
| 90733 | <1% | 100 | $380.00 | |
| 99407 | <1% | 13 | $193.38 | |
| 99072 | <1% | 1,613 | $175.00 | |
| 99173 | <1% | 5,971 | $142.50 | |
| 96127 | <1% | 49 | $139.51 | |
| 80061 | Lipid panel | <1% | 13 | $102.58 |
| 90744 | <1% | 989 | $26.14 | |
| 98966 | <1% | 169 | $8.31 | |
| 90461 | 0% | 4,293 | $0.00 | |
| 90633 | 0% | 1,003 | $0.00 | |
| 90707 | 0% | 1,279 | $0.00 | |
| 90700 | 0% | 301 | $0.00 | |
| 90670 | 0% | 2,107 | $0.00 | |
| 90715 | 0% | 90 | $0.00 | |
| 90685 | 0% | 62 | $0.00 | |
| 4551F | 0% | 308 | $0.00 | |
| 0486T | 0% | 31 | $0.00 | |
| 90648 | 0% | 13 | $0.00 | |
| 90698 | 0% | 1,629 | $0.00 | |
| 90680 | 0% | 1,004 | $0.00 | |
| 90696 | 0% | 201 | $0.00 | |
| 90651 | 0% | 418 | $0.00 | |
| 90716 | 0% | 1,227 | $0.00 | |
| 90619 | 0% | 27 | $0.00 | |
| 90686 | 0% | 250 | $0.00 | |
| 90647 | 0% | 400 | $0.00 | |
| 90723 | 0% | 120 | $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 officialALI, NUZHAT (OWNER/PHYSICIAN)