Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIMARY CARE MEDICAL PRACTICE, LLC

NPI: 1912113002 · WOODLAND PARK, NJ 07424 · Specialist · NPI assigned 05/15/2007

$749K
Total Medicaid Paid
26,563
Total Claims
24,207
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMALLOUHI, SAMUEL (PRESIDENT)
NPI Enumeration Date05/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,395 $100K
2019 3,821 $103K
2020 4,402 $110K
2021 3,972 $107K
2022 5,468 $134K
2023 4,308 $121K
2024 2,197 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,718 6,669 $488K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,111 1,985 $172K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 270 263 $28K
90674 715 697 $16K
36415 Collection of venous blood by venipuncture 3,336 3,161 $15K
G0444 Annual depression screening, 5 to 15 minutes 985 926 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 758 733 $9K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 804 768 $8K
93000 543 507 $3K
99233 Prolong inpt eval add15 m 21 15 $825.86
90694 60 49 $548.68
3079F 1,384 1,284 $162.02
3075F 2,073 1,939 $161.04
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 188 175 $14.00
3078F 613 601 $11.00
G8754 Most recent diastolic blood pressure < 90 mmhg 208 189 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 438 394 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 656 548 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,949 1,728 $0.00
4004F 651 625 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 760 666 $0.00
4013F 270 233 $0.00
99072 40 40 $0.00