Clinic
Newark Prime Care,llc
Newark Prime Care,llc was paid $10K by Medicaid between Feb 2018 and Sep 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoNEWARK PRIME CARE,LLC
NEWARK, NJ 07107
NEWARK, NJ 07107
33aNPI1881855278assigned 06/19/2008
33bProvider typeMedical Specialty Clinic/Center
28Total paid$10K
24GClaims264
24DCodes billed2
24AFirst – last monthFeb 2018 – Sep 2019
Compared with peers
Next to other Medical Specialty Clinic/Center providers in New Jersey
Rank by total paid#29 of 43
Median peer was paid$26K
This provider vs. median0.4×
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 | 121 | $5K | |
| 2019 | 143 | $5K |
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 | 66% | 187 | 172 | $7K |
| 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 | 34% | 77 | 74 | $4K |
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 officialACKAD, VIVIANE (M.D.)