Medicaid Provider Spending

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

PHYSICIAN SERVICES OF MISSOURI LLC

NPI: 1164792032 · KIRKSVILLE, MO 63501 · Family Medicine Physician · NPI assigned 01/09/2012

$3K
Total Medicaid Paid
192
Total Claims
185
Beneficiaries
1
Codes Billed
2021-10
First Month
2022-11
Last Month

Provider Details

Authorized OfficialDELOACH, CASEY (MANAGER)
Parent OrganizationVAXCARE CORPORATION
NPI Enumeration Date01/09/2012

Related Entities

Other providers sharing the same authorized official: DELOACH, CASEY

ProviderCityStateTotal Paid
PHYSICIAN MANAGEMENT SERVICES OF WESTERN INDIANA, LLC EVANSVILLE IN $3.85M
VAXCARE COLORADO LLC COLORADO SPRINGS CO $1.26M
PHYSICIAN MANAGEMENT SERVICES OF NEW JERSEY, LLC MONTVILLE NJ $541K
PHYSICIAN MANAGEMENT SERVICES OF OKLAHOMA, LLC OKLAHOMA CITY OK $303K
PHYSICIAN MANAGEMENT SERVICES OF SOUTH CAROLINA, LLC TRAVELERS REST SC $302K
PHYSICIAN MANAGEMENT SERVICES OF OHIO LLC CANTON OH $95K
PHYSICIANS SERVICES KANSAS LLC ORLANDO FL $84K
PHYSICIAN SERVICES IPA LLC ORLANDO FL $177.56

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 46 $607.66
2022 146 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 192 185 $3K