Physician
Prima Medical Foundation
Prima Medical Foundation was paid $7K by Medicaid between Jan 2018 and Nov 2018, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoPRIMA MEDICAL FOUNDATION
SONOMA, CA 95476
SONOMA, CA 95476
33aNPI1649551201assigned 09/08/2011
33bProvider typeOrthopaedic Surgery Physician
28Total paid$7K
24GClaims100
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#194 of 292
Median peer was paid$24K
This provider vs. median0.3×
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 | 100 | $7K |
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 | 74% | 86 | 85 | $5K |
| 99205 | Prolong outpt/office vis | 26% | 14 | 14 | $2K |
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 officialCRISTE, JOEL (CEO)
Parent organizationPRIMA MEDICAL FOUNDATION
| Provider | Location | Paid |
|---|---|---|
| Prima Medical Foundation | Novato, CA | $900K |
| Prima Medical Group-Terra Linda | San Rafael, CA | $2K |
| Prima Medical Foundation | Larkspur, CA | $1K |
| Prima Medical Foundation | Greenbrae, CA | $1K |
| Marin Ipa | Novato, CA | $443.63 |
| Prima Medical Foundation | Mill Valley, CA | $158.40 |
| Prima Medical Foundation | Sausalito, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.