Primary Care Medical Practice, LLC
Primary Care Medical Practice, LLC was paid $749K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoPRIMARY CARE MEDICAL PRACTICE, LLC
WOODLAND PARK, NJ 07424
WOODLAND PARK, NJ 07424
33aNPI1912113002assigned 05/15/2007
33bProvider typeSpecialist
28Total paid$749K
24GClaims26,563
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#66 of 378
Median peer was paid$63K
This provider vs. median12×
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 | 2,395 | $100K | |
| 2019 | 3,821 | $103K | |
| 2020 | 4,402 | $110K | |
| 2021 | 3,972 | $107K | |
| 2022 | 5,468 | $134K | |
| 2023 | 4,308 | $121K | |
| 2024incomplete | 2,197 | $74K |
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 | 65% | 7,718 | 6,669 | $488K |
| 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 | 23% | 2,111 | 1,985 | $172K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.7% | 270 | 263 | $28K |
| 90674 | 2.1% | 715 | 697 | $16K | |
| 36415 | Collection of venous blood by venipuncture | 2.0% | 3,336 | 3,161 | $15K |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.3% | 985 | 926 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 758 | 733 | $9K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.1% | 804 | 768 | $8K |
| 93000 | <1% | 543 | 507 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 21 | 15 | $825.86 |
| 90694 | <1% | 60 | 49 | $548.68 | |
| 3079F | <1% | 1,384 | 1,284 | $162.02 |
12 more codes
| 3075F | <1% | 2,073 | $161.04 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 188 | $14.00 |
| 3078F | <1% | 613 | $11.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 208 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 438 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 656 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,949 | $0.00 |
| 4004F | 0% | 651 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 760 | $0.00 |
| 4013F | 0% | 270 | $0.00 | |
| 99072 | 0% | 40 | $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 officialMALLOUHI, SAMUEL (PRESIDENT)