Priority Health Systems INC.
Priority Health Systems INC. was paid $2.99M by Medicaid between Nov 2018 and Nov 2024, across 1 billing code. Its largest line is T1023, Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter — 100% of everything it billed.
WASHINGTON, DC 20011
Next to other Case Manager/Care Coordinator providers in District of Columbia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 31 | $6K | |
| 2019 | 556 | $96K | |
| 2020 | 1,693 | $363K | |
| 2021 | 3,133 | $786K | |
| 2022 | 2,696 | $666K | |
| 2023 | 2,169 | $529K | |
| 2024incomplete | 1,939 | $541K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 100% | 12,217 | 10,787 | $2.99M |
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.