Physician
Primary Care of Ada, LLC
Primary Care of Ada, LLC was paid $377K by Medicaid between Jan 2018 and Dec 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPRIMARY CARE OF ADA, LLC
ADA, OK 74820
ADA, OK 74820
33aNPI1851744312assigned 07/20/2016
33bProvider typeInternal Medicine Physician
28Total paid$377K
24GClaims6,167
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Internal Medicine Physician providers in Oklahoma
Rank by total paid#22 of 108
Median peer was paid$75K
This provider vs. median5.0×
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 | 1,400 | $62K | |
| 2019 | 712 | $41K | |
| 2020 | 835 | $42K | |
| 2021 | 1,236 | $84K | |
| 2022 | 1,984 | $149K |
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 | 48% | 3,333 | 3,043 | $179K |
| 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 | 47% | 2,196 | 2,044 | $178K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 94 | 94 | $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% | 26 | 26 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 55 | 51 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 136 | 128 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 130 | 120 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | 36 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | 12 | $258.88 |
| 36415 | Collection of venous blood by venipuncture | <1% | 96 | 92 | $221.19 |
| 99490 | Ccm add 20min | <1% | 53 | 53 | $212.55 |
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 officialIVY, RANDI (CREDENTIALING SPECIALIST)