Primary Care Physician Associates, INC.

Primary Care Physician Associates, INC. was paid $158K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoPRIMARY CARE PHYSICIAN ASSOCIATES, INC.
CANTON, OH 44718

33aNPI1528073368assigned 07/30/2006

33bProvider typePediatrics Physician

28Total paid$158K

24GClaims4,785

24DCodes billed13

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#122 of 401

Median peer was paid$30K

This provider vs. median5.3×

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	1,129	$35K
2019	905	$29K
2020	955	$30K
2021	873	$30K
2022	617	$23K
2023	185	$6K
2024incomplete	121	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	82%	3,643	3,310	$129K
99223	Prolong inpt eval add15 m	4.3%	109	104	$7K
90460	Immunization administration through 18 years of age via any route, first or only component	3.1%	248	223	$5K
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	3.0%	90	81	$5K
99238	Hospital discharge day management, 30 minutes or less	2.2%	123	120	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.9%	90	53	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	150	140	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.1%	68	44	$2K
90688		<1%	209	191	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	13	12	$699.04
81002		<1%	13	12	$31.53
36415	Collection of venous blood by venipuncture	<1%	13	12	$23.16

1 more codes

96160

<1%

$14.23

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 officialKENDIS, BETSY (OWNER)