Behavioral
Premier Health Care LLC
Premier Health Care LLC was paid $2.40M by Medicaid between Mar 2020 and Dec 2024, across 12 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 48% of everything it billed.
33Billing provider infoPREMIER HEALTH CARE LLC
SILVER SPRING, MD 20904
SILVER SPRING, MD 20904
33aNPI1871962548assigned 09/23/2015
33bProvider typeClinical Social Worker
28Total paid$2.40M
24GClaims19,421
24DCodes billed12
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Maryland
Rank by total paid#10 of 580
Median peer was paid$40K
This provider vs. median60×
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 | |
|---|---|---|---|
| 2020 | 137 | $15K | |
| 2021 | 5,954 | $710K | |
| 2022 | 5,282 | $658K | |
| 2023 | 4,157 | $527K | |
| 2024incomplete | 3,891 | $488K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 48% | 10,811 | 4,543 | $1.16M |
| 99223 | Prolong inpt eval add15 m | 17% | 1,969 | 1,953 | $403K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 10% | 1,557 | 1,519 | $240K |
| 99239 | Hospital discharge day management, more than 30 minutes | 8.9% | 1,933 | 1,912 | $213K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.9% | 751 | 737 | $117K |
| 99253 | 3.2% | 666 | 204 | $76K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 983 | 464 | $72K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.0% | 405 | 379 | $72K |
| 99255 | 1.5% | 175 | 174 | $35K | |
| 99252 | <1% | 87 | 53 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 28 | 28 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 56 | 53 | $3K |
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 officialDOCKERY, TONYA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Premier Health Care, LLC | Silver Spring, MD | $686K |
| Premier Health Care LLC | Clinton, MD | $365K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.