Physician
PNJ Primary Care LLC
PNJ Primary Care LLC was paid $278K by Medicaid between Jan 2020 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoPNJ PRIMARY CARE LLC
FREDERICK, MD 21704
FREDERICK, MD 21704
33aNPI1801194709assigned 03/02/2011
33bProvider typeGeneral Practice Physician
28Total paid$278K
24GClaims4,967
24DCodes billed11
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Maryland
Rank by total paid#19 of 40
Median peer was paid$190K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 1,961 | $94K | |
| 2021 | 1,258 | $96K | |
| 2022 | 1,473 | $75K | |
| 2023 | 157 | $7K | |
| 2024incomplete | 118 | $6K |
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 | 80% | 2,302 | 1,787 | $222K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 379 | 328 | $28K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.5% | 81 | 78 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.1% | 251 | 163 | $9K |
| 99050 | 1.5% | 332 | 283 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 157 | 68 | $2K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 1,339 | 1,087 | $2K |
| 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% | 15 | 15 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 83 | 78 | $789.80 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 15 | 13 | $372.54 |
| 81002 | <1% | 13 | 12 | $30.47 |
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 officialTHOLEN, MICHAEL (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| P. Pham and J. Briggs LLC | Frederick, MD | $2.56M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.