Primary Care Partners, LLC

Primary Care Partners, LLC was paid $147K by Medicaid between Jan 2018 and May 2021, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoPRIMARY CARE PARTNERS, LLC
CLIFTON, NJ 07011

33aNPI1669802039assigned 11/20/2013

33bProvider typePrimary Care Clinic/Center

28Total paid$147K

24GClaims3,693

24DCodes billed13

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Primary Care Clinic/Center providers in New Jersey

Rank by total paid#49 of 130

Median peer was paid$86K

This provider vs. median1.7×

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.

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

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

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	48%	1,570	1,432	$70K
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	35%	849	830	$51K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	5.3%	153	153	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.7%	99	99	$7K
93000		3.8%	347	346	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.4%	54	52	$2K
90688		1.3%	115	115	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	131	131	$2K
3017F		0%	67	62	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	44	43	$0.00
1036F		0%	169	156	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	42	42	$0.00

1 more codes

4004F

$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 officialSHULKIN, DAVID (CEO)

Parent organizationPRIMARY CARE PARTNERS, LLC

Same official

Other billing entities under SHULKIN, DAVID

Full network →

Provider	Location	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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.