Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ANDOVER FAMILY MEDICINE, LLC

NPI: 1124067558 · ANDOVER, KS 67002 · Primary Care Clinic/Center · NPI assigned 06/04/2006

$117K
Total Medicaid Paid
4,337
Total Claims
4,044
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLANDERS, LINDSAY (OWNER/PHYSICIAN)
NPI Enumeration Date06/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,079 $26K
2019 883 $23K
2020 507 $13K
2021 657 $17K
2022 665 $21K
2023 358 $12K
2024 188 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,079 2,834 $87K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 575 542 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 332 328 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17 17 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 98 97 $418.65
90686 189 189 $410.01
90472 Immunization administration, each additional vaccine (list separately) 13 13 $358.02
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 22 12 $201.06
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12 12 $90.00