Prime Care Health Services PC

Prime Care Health Services PC was paid $881K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 68% of everything it billed.

33Billing provider infoPRIME CARE HEALTH SERVICES PC
CHESTER, VA 23831

33aNPI1831158401assigned 03/21/2006

33bProvider typeInternal Medicine Physician

28Total paid$881K

24GClaims63,167

24DCodes billed24

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#28 of 478

Median peer was paid$17K

This provider vs. median53×

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	5,208	$33K
2019	7,483	$63K
2020	8,523	$93K
2021	8,557	$89K
2022	10,333	$132K
2023	11,769	$156K
2024incomplete	11,294	$315K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	68%	32,379	11,414	$602K
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	17%	2,697	2,243	$147K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.9%	1,374	1,182	$60K
99310	Prolong nursin fac eval 15m	6.7%	1,577	993	$59K
99306	Prolong nursin fac eval 15m	<1%	66	61	$4K
99305		<1%	99	82	$3K
1036F		<1%	3,517	2,893	$3K
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	<1%	14	13	$2K
99318		<1%	31	29	$592.23
99308	Subsequent nursing facility care, per day, straightforward	<1%	31	26	$251.23
G8754	Most recent diastolic blood pressure < 90 mmhg	<1%	4,218	3,508	$0.01
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	2,923	2,385	$0.01

12 more codes

G8752	Most recent systolic blood pressure < 140 mmhg	<1%	3,972	$0.01
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	4,656	$0.01
G0030	Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user	<1%	366	$0.01
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	613	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	612	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	3,373	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	150	$0.00
4004F		0%	263	$0.00
G8482	Influenza immunization administered or previously received	0%	92	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	77	$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%	49	$0.00
4040F		0%	18	$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 officialABBASI, GOHAR (PRESIDENT)