Clinic
Wichita Primary Care LLC
Wichita Primary Care LLC was paid $85K by Medicaid between Jan 2019 and Aug 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoWICHITA PRIMARY CARE LLC
WICHITA, KS 67205
WICHITA, KS 67205
33aNPI1164908281assigned 07/11/2018
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$85K
24GClaims2,561
24DCodes billed11
24AFirst – last monthJan 2019 – Aug 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 396 | $15K | |
| 2020 | 470 | $13K | |
| 2021 | 601 | $16K | |
| 2022 | 583 | $19K | |
| 2023 | 431 | $20K | |
| 2024incomplete | 80 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 48% | 916 | 809 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 1,004 | 878 | $33K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.3% | 82 | 79 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.1% | 138 | 113 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 43 | 40 | $1K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.2% | 150 | 127 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 52 | 26 | $565.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | 12 | $96.49 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 17 | 13 | $17.62 |
| 36415 | Collection of venous blood by venipuncture | <1% | 99 | 84 | $3.00 |
| 99072 | 0% | 40 | 32 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLARISON, HEIDI (OWNER)