Physician
Platinumcare , LLC
Platinumcare , LLC was paid $1.01M by Medicaid between Jan 2018 and May 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoPLATINUMCARE , LLC
WASHINGTON, DC 20019
WASHINGTON, DC 20019
33aNPI1558772087assigned 05/19/2014
33bProvider typeAdult Medicine Physician
28Total paid$1.01M
24GClaims28,964
24DCodes billed32
24AFirst – last monthJan 2018 – May 2024
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 | 5,460 | $125K | |
| 2019 | 6,445 | $197K | |
| 2020 | 2,486 | $19K | |
| 2021 | 3,491 | $130K | |
| 2022 | 3,895 | $172K | |
| 2023 | 5,167 | $254K | |
| 2024incomplete | 2,020 | $113K |
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 | 48% | 6,166 | 5,085 | $488K |
| 99401 | 19% | 7,695 | 6,314 | $188K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,454 | 3,028 | $171K |
| 99354 | 4.2% | 808 | 689 | $43K | |
| 99406 | 3.4% | 3,444 | 2,881 | $34K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.3% | 889 | 763 | $33K |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 1.1% | 125 | 117 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 566 | 463 | $11K |
| 93000 | <1% | 514 | 486 | $6K | |
| 99496 | <1% | 28 | 24 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 31 | 30 | $4K |
| 99408 | <1% | 132 | 92 | $2K |
20 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 1,063 | $2K |
| 87481 | <1% | 41 | $2K | |
| 82948 | <1% | 707 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 38 | $1K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 50 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $1K |
| 81000 | <1% | 522 | $1K | |
| 93922 | <1% | 26 | $1K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 24 | $831.84 |
| 94060 | <1% | 12 | $628.65 | |
| 81003 | <1% | 377 | $519.69 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | $225.44 |
| 90749 | <1% | 13 | $109.33 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $79.32 |
| 97802 | <1% | 66 | $61.30 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 33 | $10.67 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 17 | $3.69 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 588 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 64 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,422 | $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 officialMCLAUGHLIN EDWARDS, JACQUE (CEO)