Clinic
Prime Care Medical Center LLC
Prime Care Medical Center LLC was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoPRIME CARE MEDICAL CENTER LLC
TUSKEGEE, AL 36083
TUSKEGEE, AL 36083
33aNPI1821436155assigned 06/09/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$1.46M
24GClaims38,508
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Alabama
Rank by total paid#7 of 75
Median peer was paid$56K
This provider vs. median26×
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 | 4,909 | $195K | |
| 2019 | 4,817 | $189K | |
| 2020 | 3,634 | $138K | |
| 2021 | 6,556 | $221K | |
| 2022 | 6,138 | $238K | |
| 2023 | 7,552 | $279K | |
| 2024incomplete | 4,902 | $201K |
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 | 46% | 7,419 | 6,478 | $667K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 7,360 | 5,555 | $418K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.3% | 3,737 | 3,484 | $78K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.2% | 1,810 | 1,650 | $75K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.8% | 4,236 | 3,937 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 647 | 605 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 514 | 489 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 462 | 423 | $26K |
| 87807 | <1% | 1,099 | 1,040 | $12K | |
| 92551 | <1% | 1,710 | 1,627 | $7K | |
| 99173 | <1% | 1,764 | 1,652 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,377 | 3,103 | $6K |
20 more codes
| 81002 | <1% | 2,115 | $6K | |
| 90658 | <1% | 269 | $5K | |
| 90670 | <1% | 215 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 58 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 142 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 51 | $3K |
| 90651 | <1% | 145 | $3K | |
| 90633 | <1% | 105 | $2K | |
| 0071A | <1% | 44 | $2K | |
| 0001A | <1% | 79 | $1K | |
| 0002A | <1% | 31 | $880.00 | |
| 90649 | <1% | 43 | $831.18 | |
| 0072A | <1% | 18 | $640.00 | |
| 90734 | <1% | 27 | $474.96 | |
| 0011A | <1% | 23 | $305.76 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 59 | $260.00 |
| 90744 | <1% | 20 | $217.69 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 421 | $85.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 15 | $7.56 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 493 | $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 officialMATIN, FAZLE (DIRECTOR)