Physician
Primary Care Specialists, INC
Primary Care Specialists, INC was paid $668K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoPRIMARY CARE SPECIALISTS, INC
NORFOLK, VA 23504
NORFOLK, VA 23504
33aNPI1932507985assigned 12/08/2014
33bProvider typeFamily Medicine Physician
28Total paid$668K
24GClaims25,460
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#51 of 772
Median peer was paid$13K
This provider vs. median51×
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 | 3,047 | $49K | |
| 2019 | 3,639 | $79K | |
| 2020 | 3,168 | $98K | |
| 2021 | 4,654 | $118K | |
| 2022 | 4,239 | $112K | |
| 2023 | 3,963 | $121K | |
| 2024incomplete | 2,750 | $91K |
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 | 54% | 9,247 | 7,602 | $358K |
| 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 | 40% | 5,395 | 4,397 | $265K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.3% | 2,053 | 1,544 | $9K |
| 82962 | 1.1% | 4,286 | 3,359 | $7K | |
| 0012A | <1% | 194 | 180 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 260 | 209 | $5K |
| 0011A | <1% | 169 | 152 | $4K | |
| 80061 | Lipid panel | <1% | 1,317 | 928 | $4K |
| 0064A | <1% | 87 | 78 | $2K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 61 | 54 | $2K |
| 99385 | <1% | 17 | 14 | $1K | |
| 96127 | <1% | 138 | 116 | $549.92 |
26 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 260 | $458.07 |
| 95251 | <1% | 18 | $449.49 | |
| 93000 | <1% | 33 | $392.19 | |
| 3078F | <1% | 158 | $388.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 66 | $373.45 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 203 | $369.75 |
| 0134A | <1% | 17 | $320.00 | |
| 82465 | <1% | 163 | $274.15 | |
| 99490 | Ccm add 20min | <1% | 67 | $214.10 |
| 3077F | <1% | 85 | $154.00 | |
| 81002 | <1% | 68 | $134.27 | |
| 1170F | <1% | 135 | $75.00 | |
| 3075F | <1% | 32 | $67.00 | |
| 3044F | <1% | 39 | $45.36 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 16 | $40.74 |
| 96160 | <1% | 187 | $39.85 | |
| 3074F | <1% | 27 | $31.00 | |
| 1159F | <1% | 51 | $25.00 | |
| 2028F | <1% | 35 | $25.00 | |
| 2014F | <1% | 67 | $25.00 | |
| 91301 | <1% | 329 | $2.59 | |
| 91306 | <1% | 71 | $0.15 | |
| 3079F | 0% | 15 | $0.00 | |
| 4010F | 0% | 57 | $0.00 | |
| 1126F | 0% | 16 | $0.00 | |
| 4013F | 0% | 21 | $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 officialNEWBY, JAMES (BOARD OF MANAGERS)