Physician
Prime MD LLC
Prime MD LLC was paid $4K by Medicaid between Aug 2018 and Sep 2019, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoPRIME MD LLC
WELLINGTON, FL 33414
WELLINGTON, FL 33414
33aNPI1952538167assigned 06/15/2009
33bProvider typeFamily Medicine Physician
28Total paid$4K
24GClaims3,278
24DCodes billed15
24AFirst – last monthAug 2018 – Sep 2019
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#636 of 996
Median peer was paid$13K
This provider vs. median0.3×
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 | 447 | $365.69 | |
| 2019 | 2,831 | $4K |
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 | 54% | 238 | 208 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 154 | 128 | $2K |
| 1126F | 1.4% | 248 | 223 | $58.91 | |
| 1170F | 0% | 249 | 224 | $0.00 | |
| 3008F | 0% | 212 | 207 | $0.00 | |
| 1157F | 0% | 418 | 367 | $0.00 | |
| 3074F | 0% | 246 | 219 | $0.00 | |
| 3079F | 0% | 19 | 18 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 18 | 13 | $0.00 |
| 1159F | 0% | 415 | 364 | $0.00 | |
| 3078F | 0% | 271 | 236 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 339 | 298 | $0.00 |
3 more codes
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 officialPAREDES, MANUEL (PHYSICIAN OWNER-SHAREHOLDER)