Physician
Priority Primary Care LLC
Priority Primary Care LLC was paid $693K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoPRIORITY PRIMARY CARE LLC
RUSSELLVILLE, KY 42276
RUSSELLVILLE, KY 42276
33aNPI1609310358assigned 12/15/2016
33bProvider typePediatrics Physician
28Total paid$693K
24GClaims27,748
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#32 of 156
Median peer was paid$41K
This provider vs. median17×
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 | 2,131 | $56K | |
| 2019 | 4,966 | $131K | |
| 2020 | 4,840 | $123K | |
| 2021 | 4,272 | $106K | |
| 2022 | 3,909 | $94K | |
| 2023 | 4,976 | $114K | |
| 2024incomplete | 2,654 | $69K |
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 | 82% | 20,290 | 16,235 | $571K |
| 87428 | 6.0% | 1,226 | 1,109 | $42K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 416 | 392 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 1,027 | 852 | $13K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.2% | 663 | 609 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 275 | 240 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,044 | 1,770 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 139 | 135 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 481 | 446 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 372 | 334 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 138 | 134 | $2K |
| 99441 | <1% | 101 | 85 | $2K |
12 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 32 | $923.31 |
| 90756 | <1% | 37 | $359.92 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $284.70 |
| 81002 | <1% | 224 | $244.98 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 45 | $227.12 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 15 | $114.27 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 27 | $102.41 |
| 85018 | <1% | 39 | $74.14 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 61 | $71.43 |
| 90686 | <1% | 44 | $38.82 | |
| 90461 | 0% | 12 | $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 officialKUMARAVELU, KUMARASOORIYAR (OWNER)