Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIME CARE HEALTH SERVICES PC

NPI: 1831158401 · CHESTER, VA 23831 · Internal Medicine Physician · NPI assigned 03/21/2006

$881K
Total Medicaid Paid
63,167
Total Claims
36,708
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABBASI, GOHAR (PRESIDENT)
NPI Enumeration Date03/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 11,294 $315K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 32,379 11,414 $602K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,697 2,243 $147K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,374 1,182 $60K
99310 Prolong nursin fac eval 15m 1,577 993 $59K
99306 Prolong nursin fac eval 15m 66 61 $4K
99305 99 82 $3K
1036F 3,517 2,893 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $2K
99318 31 29 $592.23
99308 Subsequent nursing facility care, per day, straightforward 31 26 $251.23
G8754 Most recent diastolic blood pressure < 90 mmhg 4,218 3,508 $0.01
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,923 2,385 $0.01
G8752 Most recent systolic blood pressure < 140 mmhg 3,972 3,299 $0.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,656 3,829 $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 366 326 $0.01
G9902 Patient screened for tobacco use and identified as a tobacco user 613 544 $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) 612 543 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 3,373 2,779 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 150 128 $0.00
4004F 263 228 $0.00
G8482 Influenza immunization administered or previously received 92 76 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 77 73 $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) 49 41 $0.00
4040F 18 13 $0.00