Clinic
Prevention First Primary Care INC
Prevention First Primary Care INC was paid $140K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 49% of everything it billed.
33Billing provider infoPREVENTION FIRST PRIMARY CARE INC
UNION BEACH, NJ 07735
UNION BEACH, NJ 07735
33aNPI1891199832assigned 10/20/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$140K
24GClaims13,715
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#52 of 130
Median peer was paid$86K
This provider vs. median1.6×
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 | 569 | $10K | |
| 2019 | 820 | $6K | |
| 2020 | 2,517 | $11K | |
| 2021 | 4,267 | $32K | |
| 2022 | 3,090 | $33K | |
| 2023 | 1,748 | $36K | |
| 2024incomplete | 704 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 49% | 6,014 | 3,299 | $68K |
| 99223 | Prolong inpt eval add15 m | 25% | 870 | 786 | $35K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 1,095 | 180 | $18K |
| 99239 | Hospital discharge day management, more than 30 minutes | 9.8% | 538 | 488 | $14K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 156 | 51 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 121 | 50 | $420.10 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,665 | 597 | $38.00 |
| 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 | <1% | 13 | 12 | $23.50 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 53 | 12 | $0.00 |
| 1123F | 0% | 2,094 | 372 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 96 | 24 | $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 officialDESAI, SUNIT (PHYSICIAN)