Medicaid Provider Spending

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

NPI: 1669885711 · SPARTA, NJ 07871 · Pediatrics Physician · NPI assigned 06/06/2014

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

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

$977K
Total Medicaid Paid
26,918
Total Claims
24,882
Beneficiaries
23
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialSHULKIN, DAVID (CEO)
Parent OrganizationPRIMARY CARE PARTNERS LLC
NPI Enumeration Date06/06/2014

Related Entities

Other providers sharing the same authorized official: SHULKIN, DAVID

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,530 11,616 $646K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,612 1,545 $121K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,781 1,667 $57K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,119 2,098 $28K
90460 Immunization administration through 18 years of age via any route, first or only component 1,021 971 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,024 1,935 $22K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,482 1,462 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 311 311 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,140 541 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 102 102 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 103 94 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 83 82 $4K
90686 597 500 $4K
96127 1,013 998 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 79 75 $3K
90472 Immunization administration, each additional vaccine (list separately) 185 185 $2K
92552 115 115 $2K
0071A 17 17 $680.00
0072A 15 15 $600.00
90670 61 54 $453.86
90648 46 40 $87.82
99000 455 444 $19.80
91307 27 15 $0.00