Prime Health Medical Group, INC.
Prime Health Medical Group, INC. was paid $14K by Medicaid between Jan 2018 and Dec 2019, across 23 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 29% of everything it billed.
33Billing provider infoPRIME HEALTH MEDICAL GROUP, INC.
EL MONTE, CA 91733
EL MONTE, CA 91733
33aNPI1538256193assigned 10/06/2006
33bProvider typeLegal Medicine
28Total paid$14K
24GClaims4,989
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Legal Medicine providers in California
Rank by total paid#21 of 39
Median peer was paid$17K
This provider vs. median0.8×
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 | 2,605 | $8K | |
| 2019 | 2,384 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 29% | 196 | 195 | $4K |
| 92551 | 22% | 510 | 507 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 16% | 113 | 112 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 61 | 61 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.0% | 172 | 169 | $866.90 |
| 90686 | 4.6% | 280 | 276 | $666.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 148 | 147 | $483.70 |
| 85018 | 3.4% | 391 | 390 | $483.67 | |
| 92552 | 3.1% | 194 | 194 | $443.33 | |
| 90685 | 1.3% | 44 | 43 | $190.00 | |
| 81000 | 1.1% | 104 | 102 | $156.57 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,309 | 1,225 | $107.70 |
11 more codes
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 officialKHALATIAN, MARIA (MEDICAL DOCTOR)