Physician
Primary Care Partners LLC
Primary Care Partners LLC was paid $977K by Medicaid between Jan 2018 and Jun 2023, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoPRIMARY CARE PARTNERS LLC
SPARTA, NJ 07871
SPARTA, NJ 07871
33aNPI1669885711assigned 06/06/2014
33bProvider typePediatrics Physician
28Total paid$977K
24GClaims26,918
24DCodes billed23
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#123 of 549
Median peer was paid$154K
This provider vs. median6.4×
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 | 5,067 | $201K | |
| 2019 | 4,583 | $194K | |
| 2020 | 2,882 | $103K | |
| 2021 | 4,321 | $144K | |
| 2022 | 7,194 | $230K | |
| 2023 | 2,871 | $106K |
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 | 66% | 12,530 | 11,616 | $646K |
| 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 | 12% | 1,612 | 1,545 | $121K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.9% | 1,781 | 1,667 | $57K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 2,119 | 2,098 | $28K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.7% | 1,021 | 971 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 2,024 | 1,935 | $22K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 1,482 | 1,462 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 311 | 311 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 1,140 | 541 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 102 | 102 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 103 | 94 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 83 | 82 | $4K |
11 more codes
| 90686 | <1% | 597 | $4K | |
| 96127 | <1% | 1,013 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 79 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 185 | $2K |
| 92552 | <1% | 115 | $2K | |
| 0071A | <1% | 17 | $680.00 | |
| 0072A | <1% | 15 | $600.00 | |
| 90670 | <1% | 61 | $453.86 | |
| 90648 | <1% | 46 | $87.82 | |
| 99000 | <1% | 455 | $19.80 | |
| 91307 | 0% | 27 | $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
| Provider | Location | Paid |
|---|---|---|
| Primary Care Partners, LLC | Clifton, NJ | $147K |
| 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.