Physician
Prime Medical Group PC
Prime Medical Group PC was paid $3.29M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 78452, Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress — 15% of everything it billed.
33Billing provider infoPRIME MEDICAL GROUP PC
FLINT, MI 48532
FLINT, MI 48532
33aNPI1861615452assigned 04/11/2007
33bProvider typeInterventional Cardiology Physician
28Total paid$3.29M
24GClaims66,605
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Interventional Cardiology Physician providers in Michigan
Rank by total paid#1 of 14
Median peer was paid$172K
This provider vs. median19×
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 | 8,731 | $466K | |
| 2019 | 8,812 | $445K | |
| 2020 | 10,068 | $417K | |
| 2021 | 12,199 | $584K | |
| 2022 | 9,820 | $460K | |
| 2023 | 10,391 | $525K | |
| 2024incomplete | 6,584 | $392K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 15% | 2,615 | 2,592 | $481K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 14% | 6,293 | 6,257 | $449K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 13% | 2,526 | 2,508 | $423K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 9,316 | 8,950 | $369K |
| 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 | 9.3% | 5,314 | 5,049 | $307K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.7% | 4,160 | 1,704 | $154K |
| 93298 | 3.7% | 5,910 | 5,900 | $121K | |
| J2785 | Injection, regadenoson, 0.1 mg | 3.1% | 912 | 874 | $102K |
| 99223 | Prolong inpt eval add15 m | 2.9% | 948 | 926 | $95K |
| 93299 | 2.7% | 1,413 | 1,411 | $88K | |
| 93015 | 2.3% | 2,657 | 2,635 | $74K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.2% | 3,382 | 1,263 | $71K |
38 more codes
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | 2.1% | 5,254 | $69K |
| 99204 | Doctor's office visit, new patient (more involved) | 2.0% | 746 | $67K |
| 93458 | 1.7% | 413 | $57K | |
| 93970 | 1.6% | 561 | $52K | |
| 93297 | 1.2% | 2,345 | $38K | |
| 99205 | Prolong outpt/office vis | 1.1% | 342 | $35K |
| 93880 | <1% | 280 | $26K | |
| 99285 | Emergency room visit (most serious) | <1% | 290 | $25K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 281 | $20K |
| 93000 | <1% | 2,547 | $19K | |
| 93925 | <1% | 143 | $17K | |
| 93229 | <1% | 49 | $17K | |
| 93296 | <1% | 1,090 | $12K | |
| 93295 | <1% | 638 | $11K | |
| 93923 | <1% | 138 | $9K | |
| J1245 | Injection, dipyridamole, per 10 mg | <1% | 1,447 | $9K |
| 99284 | Emergency room visit (serious) | <1% | 117 | $9K |
| 93272 | <1% | 617 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 110 | $8K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,873 | $8K |
| 36475 | <1% | 12 | $7K | |
| 99454 | <1% | 192 | $6K | |
| 99152 | <1% | 530 | $5K | |
| 95811 | <1% | 12 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 162 | $3K |
| 93270 | <1% | 596 | $3K | |
| 93922 | <1% | 66 | $3K | |
| 93268 | <1% | 15 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 20 | $1K |
| 99457 | <1% | 40 | $1K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 28 | $948.90 |
| 93228 | <1% | 74 | $866.14 | |
| 93971 | <1% | 14 | $681.26 | |
| 93308 | <1% | 25 | $592.72 | |
| 99442 | <1% | 15 | $356.39 | |
| J0280 | Injection, aminophyllin, up to 250 mg | <1% | 52 | $224.71 |
| 99453 | <1% | 12 | $114.14 | |
| 93294 | <1% | 13 | $104.93 |
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 officialELIAN, SAMIR (PRESIDENT)