Physician
Prime Care Medical Group PC
Prime Care Medical Group PC was paid $455K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoPRIME CARE MEDICAL GROUP PC
JAMAICA, NY 11432
JAMAICA, NY 11432
33aNPI1740461334assigned 11/25/2007
33bProvider typeFamily Medicine Physician
28Total paid$455K
24GClaims27,357
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#245 of 2,605
Median peer was paid$10K
This provider vs. median45×
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 | 2,280 | $41K | |
| 2019 | 2,686 | $62K | |
| 2020 | 4,052 | $45K | |
| 2021 | 3,979 | $46K | |
| 2022 | 3,815 | $45K | |
| 2023 | 6,575 | $123K | |
| 2024incomplete | 3,970 | $93K |
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 | 82% | 13,537 | 9,713 | $372K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 1,494 | 1,246 | $19K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.1% | 360 | 357 | $14K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.6% | 466 | 456 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 368 | 362 | $11K |
| 99401 | 1.5% | 1,413 | 1,387 | $7K | |
| 93000 | 1.5% | 714 | 688 | $7K | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 1.1% | 1,032 | 1,012 | $5K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,089 | 1,071 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 21 | 21 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 259 | 243 | $1K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 108 | 100 | $1K |
22 more codes
| 99441 | <1% | 39 | $608.16 | |
| H0001 | Alcohol and/or drug assessment | <1% | 125 | $592.02 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,655 | $498.33 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $365.06 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 12 | $246.20 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $150.68 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 61 | $70.89 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 598 | $47.90 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 832 | $40.14 |
| S9470 | Nutritional counseling, dietitian visit | <1% | 657 | $30.04 |
| 82270 | <1% | 21 | $26.21 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 391 | $1.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,143 | $0.00 |
| 3725F | 0% | 270 | $0.00 | |
| 99408 | 0% | 15 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 16 | $0.00 |
| 99499 | 0% | 18 | $0.00 | |
| 99000 | 0% | 279 | $0.00 | |
| 1000F | 0% | 145 | $0.00 | |
| 1036F | 0% | 101 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 42 | $0.00 |
| 97802 | 0% | 25 | $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 officialSADIQUE, IFFAT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Prime Care Medical of Brighton PC | Brooklyn, NY | $142K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.