Physician
Prime Health of Central Florida
Prime Health of Central Florida was paid $1.30M by Medicaid between Mar 2020 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoPRIME HEALTH OF CENTRAL FLORIDA
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
33aNPI1902465610assigned 06/07/2019
33bProvider typePediatric Gastroenterology Physician
28Total paid$1.30M
24GClaims13,321
24DCodes billed6
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in Florida
Rank by total paid#6 of 26
Median peer was paid$141K
This provider vs. median9.2×
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 | 457 | $46K | |
| 2021 | 2,194 | $269K | |
| 2022 | 3,631 | $314K | |
| 2023 | 3,468 | $404K | |
| 2024incomplete | 3,571 | $261K |
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 | 68% | 9,534 | 7,531 | $876K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17% | 1,709 | 1,539 | $218K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.1% | 831 | 660 | $92K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 5.3% | 832 | 748 | $69K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 341 | 316 | $28K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 74 | 62 | $12K |
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 officialAHMAD, OSMAN (EXECUTIVE DIRECTOR)