Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › PASSAIC › PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC

PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC

NPI: 1730508250 · PASSAIC, NJ 07055 · 174400000X

$9K
Total Medicaid Paid
573
Total Claims
505
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 97 $504.66
2023 344 $5K
2024 132 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00731 122 105 $4K
00811 121 109 $3K
99214 15 14 $722.18
00812 16 16 $675.18
93016 97 97 $504.66
G2211 Complex e/m visit add on 15 13 $24.66
99100 43 36 $23.73
3008F 17 14 $0.00
76816 53 44 $0.00
76811 15 12 $0.00
99212 43 32 $0.00
1160F 16 13 $0.00