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NPI 1447281092 · Monroeville, PA · Internal Medicine Physician
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Premier Medical Associates PC is a internal medicine physician provider located in Monroeville, Pennsylvania. This profile covers 42 Medicare and 80 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Premier Medical Associates PC |
| Address | 3824 Northern Pike |
| City | Monroeville |
| State | PA |
| ZIP | 15146 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | July 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $887K |
| Medicare | $99.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
42 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 1,670 | $10 | $16.6K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 1,190 | $10 | $15.5K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 810 | $20 | $13K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 1,090 | $10 | $10.9K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 1,080 | $10 | $8.6K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 160 | $30 | $4.6K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 450 | $10 | $3.6K |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 170 | $20 | $3.3K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 210 | $20 | $3.1K |
| 83721 | The lab analyst performs a test to directly measure the low density lipoprotein, LDL, cholesterol in a patient specimen. | 230 | $10 | $2.3K |
Showing 1–10 of 42
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
80 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 6,110 | $60 | $366.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 4,960 | $40 | $208.3K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 3,570 | $10 | $25K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 1,560 | $20 | $23.4K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 220 | $100 | $22K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 230 | $100 | $21.8K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 430 | $50 | $21K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 1,610 | $10 | $20.9K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 560 | $40 | $20K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 210 | $90 | $17.9K |
Showing 1–10 of 80
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
80 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 866 | 980 | 310 | $50 | $136.6K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 188 | 340 | 2,320 | $10 | $88.6K |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 118 | 170 | 560 | $40 | $84.2K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 410 | 820 | 230 | $80 | $71.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 295 | 8,160 | 210 | $60 | $68.4K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 451 | 660 | 180 | $70 | $63.7K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 196 | 220 | 310 | $20 | $62.7K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 254 | 550 | 160 | $80 | $58.1K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 142 | 260 | 690 | $10 | $57.9K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 526 | 8,870 | 240 | $40 | $56.1K |
Showing 1–10 of 80
Other providers in the same ZIP code as Premier Medical Associates PC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Procare Pharmacy Direct, LLC. | PA | Specialty Pharmacy | $8.3M | $227.3M |
| Bayada Home Health Care, Inc. | PA | Home Health Agency | $0 | $92M |
| Jade Wellness Center | PA | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $10.6M |
| West Penn Allegheny Health System Inc. | PA | General Acute Care Hospital | $0 | $8.2M |
| Upmc East | PA | General Acute Care Hospital | $0 | $5.8M |
| Jared Knickelbein | PA | Retina Specialist (Ophthalmology) Physician | $1.8M | $99.4K |
| Med Health Services Management, LP | PA | Clinical Medical Laboratory | $111.4K | $1.7M |
| Paul Conrad | PA | Ophthalmology Physician | $1.5M | $62.5K |
| Shripaad Shukla | PA | Retina Specialist (Ophthalmology) Physician | $1.4M | $83.2K |
| Avni Vyas | PA | Retina Specialist (Ophthalmology) Physician | $1.3M | $34.5K |
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