Medicaid Provider Spending

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

WICHITA PRIMARY CARE LLC

NPI: 1164908281 · WICHITA, KS 67205 · Adult Mental Health Clinic/Center · NPI assigned 07/11/2018

$85K
Total Medicaid Paid
2,561
Total Claims
2,213
Beneficiary Records
11
Codes Billed
2019-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLARISON, HEIDI (OWNER)
NPI Enumeration Date07/11/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 396 $15K
2020 470 $13K
2021 601 $16K
2022 583 $19K
2023 431 $20K
2024 80 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 916 809 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,004 878 $33K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 82 79 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 138 113 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 40 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 150 127 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 52 26 $565.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20 12 $96.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17 13 $17.62
36415 Collection of venous blood by venipuncture 99 84 $3.00
99072 40 32 $0.00