Physician
Prime Essential Health INC
Prime Essential Health INC was paid $3K by Medicaid between Oct 2018 and Jul 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPRIME ESSENTIAL HEALTH INC
ELK GROVE, CA 95624
ELK GROVE, CA 95624
33aNPI1568999134assigned 05/15/2017
33bProvider typeHospice and Palliative Medicine (Family Medicine) Physician
28Total paid$3K
24GClaims299
24DCodes billed6
24AFirst – last monthOct 2018 – Jul 2024
Compared with peers
Next to other Hospice and Palliative Medicine (Family Medicine) Physician providers in California
Rank by total paid#8 of 11
Median peer was paid$49K
This provider vs. median0.1×
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 | 89 | $487.25 | |
| 2019 | 101 | $2K | |
| 2022 | 21 | $120.00 | |
| 2023 | 27 | $0.00 | |
| 2024incomplete | 61 | $657.78 |
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 | 40% | 41 | 39 | $1K |
| 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 | 30% | 18 | 15 | $855.36 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 30% | 150 | 112 | $849.78 |
| 3008F | 0% | 52 | 45 | $0.00 | |
| 3074F | 0% | 19 | 18 | $0.00 | |
| 3078F | 0% | 19 | 16 | $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 officialSULTANI, EHSAN (PRESIDENT OF CORPORATION)