Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIME MEDICAL ASSOCIATES LLC

NPI: 1760894786 · SOMERSET, NJ 08873 · Internal Medicine Physician · NPI assigned 05/25/2014

$147K
Total Medicaid Paid
17,392
Total Claims
14,606
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKAUR, DVINDER (OWNER)
NPI Enumeration Date05/25/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 624 $31K
2019 575 $24K
2020 1,121 $18K
2021 1,984 $22K
2022 3,815 $17K
2023 3,783 $20K
2024 5,490 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,803 2,561 $101K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,070 982 $30K
93000 451 421 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 59 56 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 93 82 $2K
90674 83 83 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 111 111 $1K
99215 Prolong outpt/office vis 14 12 $1K
96160 313 287 $624.46
90756 14 14 $275.11
99497 32 30 $172.76
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 12 $143.99
81002 60 56 $33.39
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) 228 145 $22.02
99072 411 388 $17.50
81000 12 12 $15.96
G0444 Annual depression screening, 5 to 15 minutes 15 14 $15.79
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,150 926 $3.01
3078F 61 49 $0.01
1170F 113 93 $0.01
3074F 60 48 $0.01
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 374 295 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 793 646 $0.00
G8482 Influenza immunization administered or previously received 663 523 $0.00
1160F 65 52 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 717 577 $0.00
4040F 273 235 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 123 106 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 716 565 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 210 165 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 55 51 $0.00
3288F 72 57 $0.00
1159F 64 51 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 952 775 $0.00
3017F 567 464 $0.00
G9969 Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred 1,074 850 $0.00
1123F 752 612 $0.00
4086F 258 211 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 447 336 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,014 824 $0.00
3044F 139 111 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 740 591 $0.00
G8473 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed 93 70 $0.00
3014F 31 25 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
99457 20 20 $0.00