Physician
Prime Medical Associates LLC
Prime Medical Associates LLC was paid $147K by Medicaid between Jan 2018 and Oct 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoPRIME MEDICAL ASSOCIATES LLC
SOMERSET, NJ 08873
SOMERSET, NJ 08873
33aNPI1760894786assigned 05/25/2014
33bProvider typeInternal Medicine Physician
28Total paid$147K
24GClaims17,392
24DCodes billed46
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#287 of 1,027
Median peer was paid$30K
This provider vs. median5.0×
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 | 624 | $31K | |
| 2019 | 575 | $24K | |
| 2020 | 1,121 | $18K | |
| 2021 | 1,984 | $22K | |
| 2022 | 3,815 | $17K | |
| 2023 | 3,783 | $20K | |
| 2024incomplete | 5,490 | $16K |
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 | 69% | 2,803 | 2,561 | $101K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,070 | 982 | $30K |
| 93000 | 3.7% | 451 | 421 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.0% | 59 | 56 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 93 | 82 | $2K |
| 90674 | 1.0% | 83 | 83 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 111 | 111 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 12 | $1K |
| 96160 | <1% | 313 | 287 | $624.46 | |
| 90756 | <1% | 14 | 14 | $275.11 | |
| 99497 | <1% | 32 | 30 | $172.76 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | 12 | $143.99 |
34 more codes
| 81002 | <1% | 60 | $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) | <1% | 228 | $22.02 |
| 99072 | <1% | 411 | $17.50 | |
| 81000 | <1% | 12 | $15.96 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 15 | $15.79 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,150 | $3.01 |
| 3078F | <1% | 61 | $0.01 | |
| 1170F | <1% | 113 | $0.01 | |
| 3074F | <1% | 60 | $0.01 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 374 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 793 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 663 | $0.00 |
| 1160F | 0% | 65 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 717 | $0.00 |
| 4040F | 0% | 273 | $0.00 | |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 123 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 716 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 210 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 55 | $0.00 |
| 3288F | 0% | 72 | $0.00 | |
| 1159F | 0% | 64 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 952 | $0.00 |
| 3017F | 0% | 567 | $0.00 | |
| G9969 | Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred | 0% | 1,074 | $0.00 |
| 1123F | 0% | 752 | $0.00 | |
| 4086F | 0% | 258 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 447 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,014 | $0.00 |
| 3044F | 0% | 139 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 740 | $0.00 |
| G8473 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed | 0% | 93 | $0.00 |
| 3014F | 0% | 31 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 99457 | 0% | 20 | $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 officialKAUR, DVINDER (OWNER)