Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20185,460$125K
20196,445$197K
20202,486$19K
20213,491$130K
20223,895$172K
20235,167$254K
2024incomplete2,020$113K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)