Primary Care Specialists, PA

Primary Care Specialists, PA was paid $343K by Medicaid between Apr 2021 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoPRIMARY CARE SPECIALISTS, PA
POCATELLO, ID 83201

33aNPI1508875881assigned 08/05/2006

33bProvider typePrimary Care Clinic/Center

28Total paid$343K

24GClaims4,493

24DCodes billed6

24AFirst – last monthApr 2021 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Idaho

Rank by total paid#9 of 27

Median peer was paid$114K

This provider vs. median3.0×

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
2021	957	$60K
2022	1,814	$139K
2023	1,089	$94K
2024incomplete	633	$49K

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	72%	2,921	2,659	$248K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	1,486	1,377	$93K
87428		<1%	41	41	$2K
90688		<1%	18	17	$273.02
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	15	14	$177.16
36415	Collection of venous blood by venipuncture	<1%	12	12	$72.05

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 officialMANSFIELD, MARK (PRESIDENT)