Physician
Prima Health Care LLC
Prima Health Care LLC was paid $245K by Medicaid between Jan 2018 and Aug 2018, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoPRIMA HEALTH CARE LLC
NORTH LIMA, OH 44452
NORTH LIMA, OH 44452
33aNPI1750318184assigned 06/28/2006
33bProvider typeInternal Medicine Physician
28Total paid$245K
24GClaims8,284
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#131 of 663
Median peer was paid$17K
This provider vs. median14×
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 | 8,284 | $245K |
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 | 47% | 2,339 | 2,084 | $114K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 2,909 | 2,442 | $94K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.5% | 315 | 259 | $18K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.0% | 1,130 | 525 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 186 | 169 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 39 | 38 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 118 | 98 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 82 | 26 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 72 | 36 | $818.88 |
| 11721 | <1% | 105 | 98 | $565.83 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 20 | 17 | $292.46 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 32 | 28 | $190.79 |
4 more codes
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 officialDEMAIOLO, STEVEN (CEO/PRESIDENT)