Physician
Primehealth Physicians LLC
Primehealth Physicians LLC was paid $38K by Medicaid between Jan 2018 and Sep 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoPRIMEHEALTH PHYSICIANS LLC
MIAMI, FL 33176
MIAMI, FL 33176
33aNPI1871838193assigned 11/28/2012
33bProvider typeFamily Medicine Physician
28Total paid$38K
24GClaims19,619
24DCodes billed42
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#356 of 996
Median peer was paid$13K
This provider vs. median2.9×
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 | 4,788 | $1K | |
| 2019 | 3,829 | $9K | |
| 2020 | 3,130 | $8K | |
| 2021 | 2,742 | $9K | |
| 2022 | 2,833 | $4K | |
| 2023 | 1,834 | $3K | |
| 2024incomplete | 463 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 62% | 4,691 | 3,257 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 1,530 | 800 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.6% | 55 | 40 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.1% | 586 | 155 | $2K |
| 99490 | Ccm add 20min | 2.7% | 805 | 714 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 76 | 55 | $188.64 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 80 | 64 | $31.58 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,406 | 1,616 | $0.18 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 58 | 41 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,482 | 1,175 | $0.00 |
| 1101F | 0% | 80 | 62 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 310 | 268 | $0.00 |
30 more codes
| 1036F | 0% | 1,098 | $0.00 | |
| 1170F | 0% | 108 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 367 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 435 | $0.00 |
| 3074F | 0% | 123 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 118 | $0.00 |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 37 | $0.00 |
| 1126F | 0% | 31 | $0.00 | |
| 3044F | 0% | 47 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 35 | $0.00 |
| 1123F | 0% | 67 | $0.00 | |
| 3017F | 0% | 29 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 33 | $0.00 |
| 2000F | 0% | 13 | $0.00 | |
| 3008F | 0% | 117 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 19 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,544 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,251 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 45 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 86 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 204 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 30 | $0.00 |
| 4040F | 0% | 86 | $0.00 | |
| 1090F | 0% | 58 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 118 | $0.00 |
| 1124F | 0% | 44 | $0.00 | |
| 90682 | 0% | 74 | $0.00 | |
| 3288F | 0% | 216 | $0.00 | |
| 90662 | 0% | 15 | $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 officialORTIZ, CESAR (CEO)