NP / PA
Primary Care House Calls PA
Primary Care House Calls PA was paid $171K by Medicaid between Jan 2018 and Nov 2024, across 41 billing codes. Its largest line is 99350, Prolong home eval add 15m — 56% of everything it billed.
33Billing provider infoPRIMARY CARE HOUSE CALLS PA
GULF BREEZE, FL 32563
GULF BREEZE, FL 32563
33aNPI1770902462assigned 04/10/2014
33bProvider typeFamily Nurse Practitioner
28Total paid$171K
24GClaims55,704
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Florida
Rank by total paid#18 of 280
Median peer was paid$5K
This provider vs. median33×
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 | 4,774 | $181.43 | |
| 2019 | 14,237 | $4K | |
| 2020 | 17,581 | $15K | |
| 2021 | 5,411 | $34K | |
| 2022 | 5,743 | $19K | |
| 2023 | 5,752 | $75K | |
| 2024incomplete | 2,206 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99350 | Prolong home eval add 15m | 56% | 6,308 | 4,118 | $97K |
| 99337 | 23% | 6,876 | 3,918 | $40K | |
| 99349 | 8.7% | 3,427 | 2,037 | $15K | |
| 99336 | 7.3% | 3,011 | 1,653 | $12K | |
| 1090F | 2.8% | 4,999 | 3,547 | $5K | |
| 1124F | <1% | 1,920 | 1,193 | $516.63 | |
| 1123F | <1% | 2,204 | 1,675 | $488.54 | |
| 3044F | <1% | 1,412 | 1,038 | $478.17 | |
| 99497 | <1% | 238 | 160 | $228.00 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 666 | 489 | $191.19 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 299 | 219 | $117.22 |
| 96116 | <1% | 142 | 71 | $80.51 |
29 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 34 | $31.56 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 89 | $29.38 |
| 99406 | <1% | 292 | $7.98 | |
| 4040F | <1% | 602 | $2.72 | |
| 94761 | 0% | 1,194 | $0.00 | |
| 3060F | 0% | 280 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 240 | $0.00 |
| 2000F | 0% | 151 | $0.00 | |
| 1111F | 0% | 500 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 159 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 184 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 37 | $0.00 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 46 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 17 | $0.00 |
| 90674 | 0% | 20 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 7,007 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 888 | $0.00 |
| 0518F | 0% | 420 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 4,019 | $0.00 |
| 4322F | 0% | 1,869 | $0.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 453 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 349 | $0.00 |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 4,496 | $0.00 |
| 3288F | 0% | 219 | $0.00 | |
| G8477 | Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg | 0% | 345 | $0.00 |
| 90756 | 0% | 52 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 169 | $0.00 |
| 99490 | Ccm add 20min | 0% | 57 | $0.00 |
| 90653 | 0% | 14 | $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 officialCRUMLISH, MARY ANN (PA, OWNER)