Physician
Prime Obstetrics & Gynecology, PC
Prime Obstetrics & Gynecology, PC was paid $380K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoPRIME OBSTETRICS & GYNECOLOGY, PC
SMYRNA, TN 37167
SMYRNA, TN 37167
33aNPI1831226000assigned 02/27/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$380K
24GClaims17,613
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Tennessee
Rank by total paid#44 of 176
Median peer was paid$39K
This provider vs. median9.7×
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 | 2,313 | $50K | |
| 2019 | 3,535 | $69K | |
| 2020 | 2,803 | $68K | |
| 2021 | 1,877 | $37K | |
| 2022 | 2,029 | $47K | |
| 2023 | 2,963 | $66K | |
| 2024incomplete | 2,093 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 64% | 6,665 | 4,880 | $242K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 10% | 560 | 476 | $40K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.5% | 377 | 322 | $25K |
| 81025 | 5.0% | 5,062 | 4,019 | $19K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 4.6% | 18 | 12 | $18K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.2% | 170 | 131 | $8K |
| 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 | 1.8% | 74 | 61 | $7K |
| 87210 | 1.8% | 3,330 | 2,681 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 246 | 199 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 250 | 194 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 35 | 27 | $2K |
| 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 | <1% | 46 | 28 | $2K |
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 officialIKEJIANI, AFAM (PHYSICIAN)