Physician
Prime Care Medical of Brighton PC
Prime Care Medical of Brighton PC was paid $142K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.
33Billing provider infoPRIME CARE MEDICAL OF BRIGHTON PC
BROOKLYN, NY 11235
BROOKLYN, NY 11235
33aNPI1558520056assigned 06/09/2008
33bProvider typeCardiovascular Disease Physician
28Total paid$142K
24GClaims24,143
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in New York
Rank by total paid#254 of 1,564
Median peer was paid$13K
This provider vs. median11×
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 | 4,029 | $47K | |
| 2019 | 3,363 | $25K | |
| 2020 | 4,337 | $2K | |
| 2021 | 3,100 | $2K | |
| 2022 | 3,052 | $15K | |
| 2023 | 4,057 | $28K | |
| 2024incomplete | 2,205 | $24K |
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 | 86% | 12,855 | 9,184 | $123K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 387 | 386 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 1,034 | 907 | $3K |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 1.7% | 1,090 | 1,077 | $2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.5% | 219 | 215 | $2K |
| 93000 | 1.5% | 342 | 325 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.4% | 588 | 521 | $2K |
| 99401 | 1.3% | 1,321 | 1,298 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 203 | 201 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,363 | 1,353 | $832.54 |
| 99441 | <1% | 79 | 68 | $816.89 | |
| 90658 | <1% | 12 | 12 | $142.44 |
22 more codes
| 36410 | <1% | 443 | $72.68 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 1,178 | $60.00 |
| S9470 | Nutritional counseling, dietitian visit | <1% | 570 | $30.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 137 | $17.38 |
| 36415 | Collection of venous blood by venipuncture | <1% | 301 | $9.02 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 25 | $0.00 |
| 82270 | 0% | 31 | $0.00 | |
| 1000F | 0% | 16 | $0.00 | |
| 97802 | 0% | 15 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 93 | $0.00 |
| 99000 | 0% | 43 | $0.00 | |
| 82985 | 0% | 26 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| 82044 | 0% | 13 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 12 | $0.00 |
| G8410 | Footwear evaluation performed and documented | 0% | 12 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 25 | $0.00 |
| 1036F | 0% | 13 | $0.00 | |
| 87110 | 0% | 14 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,639 | $0.00 |
| 99442 | 0% | 19 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 13 | $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 officialSADIQUE, IFFAT (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Prime Care Medical Group PC | Jamaica, NY | $455K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.