Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIMARY CARE PARTNERS, LLC

NPI: 1669802039 · CLIFTON, NJ 07011 · Primary Care Clinic/Center · NPI assigned 11/20/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SHULKIN, DAVID controls 11+ related entities in our dataset. Read more

$147K
Total Medicaid Paid
3,693
Total Claims
3,509
Beneficiaries
13
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialSHULKIN, DAVID (CEO)
Parent OrganizationPRIMARY CARE PARTNERS, LLC
NPI Enumeration Date11/20/2013

Related Entities

Other providers sharing the same authorized official: SHULKIN, DAVID

ProviderCityStateTotal Paid
PRIMARY CARE PARTNERS LLC SPARTA NJ $977K
PRIMARY CARE PARTNERS, LLC BLOOMFIELD NJ $75K
PRIMARY CARE PARTNERS, LLC HAMBURG NJ $34K
PRIMARY CARE PARTNERS, LLC NESHANIC STATION NJ $24K
PRIMARY CARE PARTNERS, LLC BLOOMFIELD NJ $22K
PRIMARY CARE PARTNERS, LLC VERNON NJ $14K
PRIMARY CARE PARTNERS, LLC WHITEHOUSE STATION NJ $13K
PRIMARY CARE PARTNERS, LLC PARSIPPANY NJ $10K
PRIMARY CARE PARTNERS, LLC HACKETTSTOWN NJ $4K
PRIMARY CARE PARTNERS, LLC EAST BRUNSWICK NJ $2K
PRIMARY CARE PARTNERS, LLC HACKETTSTOWN NJ $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,014 $47K
2019 1,506 $50K
2020 889 $34K
2021 284 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,570 1,432 $70K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 849 830 $51K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 153 153 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 99 99 $7K
93000 347 346 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 54 52 $2K
90688 115 115 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 131 131 $2K
3017F 67 62 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 44 43 $0.00
1036F 169 156 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 42 42 $0.00
4004F 53 48 $0.00