KINGDOM MEDICAL SERVICES LLC

NPI: 1073199246 · FRISCO, TX 75033 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · NPI assigned 03/19/2021

$7K

Total Medicaid Paid

374

Total Claims

357

Beneficiaries

Codes Billed

2023-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	JOHNSON, JASON (OWNER)
NPI Enumeration Date	03/19/2021

Other providers sharing the same authorized official: JOHNSON, JASON

Provider	City	State	Total Paid
MARKELL & MARQUELL ENTERPRISES, LLC	BAKERSFIELD	CA	$6.81M
TRU LUV MANAGEMENT LC	BALTIMORE	MD	$346K
TRU LUV MANAGEMENT LC	BALTIMORE	MD	$182K
THE IN-HOME PARENT COACH, LLC	UNION CITY	NJ	$47K
JASON DANIEL JOHNSON, PLLC	PEORIA	AZ	$40K
MIDDLESEX VALLEY VOLUNTEER AMBULANCE SERVICE, INC.	MIDDLESEX	NY	$1K

Year	Claims	Total Paid
2023	274	$6K
2024	100	$1K

Code	Description	Claims	Beneficiaries	Total Paid
R0070	Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen	116	112	$6K
Q0092	Set-up portable x-ray equipment	154	147	$253.48
71046	Radiologic examination, chest; 2 views	19	16	$112.65
74018		18	15	$97.24
71045	Radiologic examination, chest; single view	25	25	$37.54
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	42	42	$16.53