Definite Primary Care, LLC

Definite Primary Care, LLC was paid $108K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 46% of everything it billed.

33Billing provider infoDEFINITE PRIMARY CARE, LLC
UNION, NJ 07083

33aNPI1508280777assigned 02/09/2014

33bProvider typeInternal Medicine Physician

28Total paid$108K

24GClaims4,570

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#336 of 1,027

Median peer was paid$30K

This provider vs. median3.6×

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	473	$12K
2019	419	$13K
2020	248	$7K
2021	576	$17K
2022	823	$20K
2023	1,262	$23K
2024incomplete	769	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	46%	1,579	536	$49K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	896	847	$33K
99308	Subsequent nursing facility care, per day, straightforward	15%	1,053	694	$16K
36415	Collection of venous blood by venipuncture	3.2%	930	899	$3K
99239	Hospital discharge day management, more than 30 minutes	2.5%	45	40	$3K
99222	Initial hospital care, per day, moderate complexity	2.5%	38	38	$3K
96127		<1%	29	29	$58.51

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 officialSMIGHELSCHI, CORINA (SOLE MEMBER)