Clinic
Prima Medical Foundation
Prima Medical Foundation was paid $900K by Medicaid between Apr 2020 and Oct 2024, across 35 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 25% of everything it billed.
33Billing provider infoPRIMA MEDICAL FOUNDATION
NOVATO, CA 94949
NOVATO, CA 94949
33aNPI1811217946assigned 06/11/2010
33bProvider typeClinic/Center
28Total paid$900K
24GClaims37,395
24DCodes billed35
24AFirst – last monthApr 2020 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#141 of 504
Median peer was paid$102K
This provider vs. median8.8×
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 | 68 | $15.90 | |
| 2021 | 5,252 | $109K | |
| 2022 | 7,918 | $167K | |
| 2023 | 12,816 | $317K | |
| 2024incomplete | 11,341 | $307K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 25% | 2,971 | 2,821 | $223K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 14% | 3,388 | 3,278 | $128K |
| 70450 | Computed tomography, head or brain; without contrast material | 14% | 4,063 | 3,687 | $125K |
| 71045 | Radiologic examination, chest; single view | 12% | 16,073 | 12,782 | $109K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 11% | 3,379 | 3,270 | $103K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 5.2% | 1,670 | 1,555 | $47K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 3.2% | 1,041 | 998 | $28K |
| 76642 | 3.0% | 852 | 788 | $27K | |
| 77066 | Tomosynthesis, mammo | 2.4% | 504 | 478 | $22K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 2.3% | 861 | 784 | $21K |
| 77065 | Tomosynthesis, mammo | 1.7% | 443 | 396 | $16K |
| 76830 | Ultrasound, transvaginal | 1.5% | 617 | 563 | $13K |
23 more codes
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 70 | $7K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 567 | $5K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 71 | $4K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 91 | $4K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 51 | $4K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 57 | $3K |
| 99152 | <1% | 60 | $3K | |
| 77049 | <1% | 27 | $2K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 68 | $2K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 38 | $1K |
| 73030 | <1% | 75 | $561.89 | |
| 73610 | <1% | 68 | $465.95 | |
| 77080 | <1% | 42 | $414.12 | |
| 73630 | <1% | 55 | $376.12 | |
| 73564 | <1% | 45 | $353.20 | |
| 76770 | <1% | 12 | $337.14 | |
| 73130 | <1% | 36 | $244.39 | |
| 73562 | <1% | 35 | $175.50 | |
| 72100 | <1% | 14 | $126.79 | |
| 72110 | <1% | 12 | $125.97 | |
| 73502 | <1% | 12 | $118.72 | |
| 74018 | <1% | 13 | $98.83 | |
| 73110 | <1% | 14 | $86.88 |
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 officialCRISTE, JOEL (CEO)
Parent organizationPRIMA MEDICAL FOUNDATION
| Provider | Location | Paid |
|---|---|---|
| Prima Medical Foundation | Sonoma, CA | $7K |
| Prima Medical Group-Terra Linda | San Rafael, CA | $2K |
| Prima Medical Foundation | Larkspur, CA | $1K |
| Prima Medical Foundation | Greenbrae, CA | $1K |
| Marin Ipa | Novato, CA | $443.63 |
| Prima Medical Foundation | Mill Valley, CA | $158.40 |
| Prima Medical Foundation | Sausalito, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.