Prime Healthcare Services - ST. Mary's Passaic, LLC
Prime Healthcare Services - ST. Mary's Passaic, LLC was paid $9K by Medicaid between Jan 2018 and Aug 2024, across 12 billing codes. Its largest line is 00731, — 40% of everything it billed.
33Billing provider infoPRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC
PASSAIC, NJ 07055
PASSAIC, NJ 07055
33aNPI1730508250assigned 04/11/2014
33bProvider typeSpecialist
28Total paid$9K
24GClaims573
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#275 of 378
Median peer was paid$63K
This provider vs. median0.1×
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 | 97 | $504.66 | |
| 2023 | 344 | $5K | |
| 2024incomplete | 132 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00731 | 40% | 122 | 105 | $4K | |
| 00811 | 38% | 121 | 109 | $3K | |
| 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 | 8.2% | 15 | 14 | $722.18 |
| 00812 | 7.7% | 16 | 16 | $675.18 | |
| 93016 | 5.7% | 97 | 97 | $504.66 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 15 | 13 | $24.66 |
| 99100 | <1% | 43 | 36 | $23.73 | |
| 3008F | 0% | 17 | 14 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 53 | 44 | $0.00 |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 0% | 15 | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 43 | 32 | $0.00 |
| 1160F | 0% | 16 | 13 | $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 officialSCHELL, TROY (SECRETARY, GENERAL COUNSEL)
| Provider | Location | Paid |
|---|---|---|
| Prime Healthcare Services - ST. Mary's Passaic LLC | Passaic, NJ | $56.16M |
| Prime Healthcare Anaheim, LLC | Anaheim, CA | $8.85M |
| Prime Healthcare Services - ST. Mary's Passaic, LLC | Passaic, NJ | $7.25M |
| Prime Healthcare Services Encino LLC | Encino, CA | $1.52M |
| Prime Healthcare Services - ST. Mary's Passaic, LLC | Passaic, NJ | $342K |
| Prime Healthcare Centinela LLC | Inglewood, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.