Primary Care Billing Services Done Fully
E/M coding that holds up, preventive and chronic-care programs (AWV, CCM, G2211) that finally get billed, and eligibility checks that stop denials at check-in. We run your billing end to end, and help your practice grow online too.
Understanding Primary Care Challenges
Standing out in a competitive local market
Attracting new patients through online search
Managing your online reputation and reviews
Converting website visitors into booked appointments
Services for Primary Care Practices
HIPAA-Compliant Website
Modern, fast websites with online appointment booking and patient portals.
Local SEO Dominance
Rank #1 for 'primary care near me' and dominate local search results.
Google Ads & Pay-Per-Click
Targeted ad campaigns that bring new patients to your practice every day.
Reputation Management
Automate patient review collection and respond to feedback professionally.
Medical Billing for Primary Care
Our family practice and primary care billing services are built for a specialty that lives and dies on E/M coding accuracy and visit volume. Margins are thin, payer mix is broad, and small per-claim errors multiply across thousands of encounters a year. We keep your 99202-99215 coding defensible, capture the preventive and chronic care revenue most practices leave behind (AWV, CCM, TCM, and the G2211 add-on), and stop eligibility problems before they become denials.
Correct use of modifier 25 when a problem visit happens alongside a preventive exam, one of the most under-billed scenarios in primary care
Annual Wellness Visit (G0438/G0439) and Chronic Care Management (99490) capture for Medicare patients
Front-end eligibility checks that stop the top primary care denial, inactive or changed coverage, before the visit
G2211 complexity add-on applied on qualifying longitudinal-care visits, new revenue many practices never bill
Transitional Care Management (99495/99496) worked from hospital discharge lists so the 30-day windows aren't missed
Key CPT Codes in Primary Care Billing
The codes that drive most of the revenue in this specialty, and what has to be right on each one.
| Code | Service | Billing Note |
|---|---|---|
| 99202-99215 | Office E/M, new and established | The revenue backbone. Level distribution should match documented MDM; habitual mid-level coding leaves money behind, habitual high-level coding invites audits. |
| G2211 | Visit complexity add-on (longitudinal care) | Billable with office E/M when you're the patient's continuing focal point of care. Widely missed since its 2024 introduction. |
| G0438 / G0439 | Medicare Annual Wellness Visit (initial / subsequent) | Once per 12 months. Pairs with a problem E/M and modifier 25 when a distinct issue is addressed. |
| 99490 / 99439 | Chronic Care Management (first 20 min / add-on) | Recurring monthly revenue for 2+ chronic condition patients; requires time logs and consent documentation. |
| 99495 / 99496 | Transitional Care Management | Post-discharge care within 14 or 7 days. Requires interactive contact within 2 business days of discharge. |
| 99497 | Advance Care Planning | Billable standalone or with the AWV (no coinsurance when done with AWV). |
| 96127 / 96110 | Behavioral / developmental screening | Small-dollar codes that add up across a full panel; payable alongside preventive visits. |
| Modifier 25 | Significant, separately identifiable E/M | The most scrutinized modifier in primary care. Documentation must separate the problem visit from the preventive service. |
Top Primary Care Denials We Prevent
Inactive or changed coverage at time of service
How we prevent it: Real-time eligibility runs before every visit, not just for new patients, so coverage changes surface at check-in instead of on the remittance.
Same-day preventive plus problem E/M bundled
How we prevent it: Modifier 25 is applied with documentation that clearly separates the two services, so both the physical and the problem visit are paid.
AWV billed inside the 12-month frequency window
How we prevent it: AWV eligibility dates are tracked per Medicare patient before scheduling, so the visit is booked when it's billable.
CCM claims missing time or consent documentation
How we prevent it: Care-management time logs and consent records are verified before 99490 goes out, keeping this recurring revenue audit-proof.
Registration and demographic errors at high visit volume
How we prevent it: Claim scrubbing validates subscriber data, plan IDs, and payer routing on every claim, which is where high-volume practices bleed the most.
Primary Care Billing FAQs
When a patient raises a new problem during an annual physical, the problem-oriented E/M can be billed separately with modifier 25, but many practices either skip it (losing the visit revenue) or document it poorly (triggering denials). Correct same-day preventive-plus-problem billing is one of the fastest revenue wins in primary care.
At minimum: Annual Wellness Visits (G0438/G0439), Chronic Care Management (99490 and add-ons), Advance Care Planning (99497), Transitional Care Management (99495/99496), and the G2211 complexity add-on. Practices with a Medicare panel that aren't billing these routinely are typically leaving five figures a year uncollected.
Under 5% of claims on first pass. Primary care denials are dominated by eligibility and registration errors, which are preventable with real-time verification before each visit, something we build into the workflow.
G2211 is a Medicare add-on code recognizing the complexity of being a patient's ongoing primary care relationship. It's billable with most office E/M visits for patients whose care you manage longitudinally, and it adds meaningful revenue across a full Medicare panel. Many practices still aren't billing it at all; we apply it wherever the relationship and documentation qualify.
Primary care billing typically prices at 4% to 7% of collections. High visit volume gives the specialty economies of scale, and the return usually shows up in two places: preventive and care-management programs that finally get billed, and eligibility denials that stop happening.
Yes. CCM fails when it's bolted on without workflows: patient consent, monthly time tracking, and care plan documentation all have to be systematic. We set up the billing infrastructure and compliance checklist so the program produces clean recurring revenue instead of audit exposure.
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