Physician
Prime Health Clinic PLLC
Prime Health Clinic PLLC was paid $1.75M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoPRIME HEALTH CLINIC PLLC
PUYALLUP, WA 98372
PUYALLUP, WA 98372
33aNPI1710306436assigned 04/09/2014
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.75M
24GClaims22,342
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Washington
Rank by total paid#2 of 54
Median peer was paid$22K
This provider vs. median80×
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.
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 | 4,250 | $302K | |
| 2019 | 3,713 | $279K | |
| 2020 | 3,259 | $224K | |
| 2021 | 3,218 | $230K | |
| 2022 | 3,013 | $263K | |
| 2023 | 2,495 | $227K | |
| 2024incomplete | 2,394 | $230K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 65% | 14,756 | 12,424 | $1.15M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16% | 2,498 | 2,423 | $288K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 1,605 | 1,469 | $183K |
| 91065 | 3.1% | 1,419 | 1,369 | $54K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.6% | 471 | 465 | $27K |
| 97803 | 1.4% | 680 | 656 | $24K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 568 | 542 | $17K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 63 | 62 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 103 | 98 | $5K |
| 97802 | <1% | 61 | 59 | $3K | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 79 | 64 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 39 | 33 | $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 officialALIDLEBI, ABEER (GENERAL MANGER)