PHYSICIAN MANAGEMENT SERVICES OF SOUTHERN MISSOURI, LLC

NPI: 1164932893 · O FALLON, MO 63366 · Family Medicine Physician · NPI assigned 10/09/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official KENEFICK, BRETT controls 20+ related entities in our dataset. Read more

$161K

Total Medicaid Paid

14,853

Total Claims

11,523

Beneficiaries

Codes Billed

2021-08

First Month

2024-12

Last Month

Provider Details

Other providers sharing the same authorized official: KENEFICK, BRETT

Provider	City	State	Total Paid
PHYSICIAN MANAGEMENT SERVICES OF ALABAMA LLC	DOTHAN	AL	$4.15M
VAXCARE NORTH CAROLINA, LLC	RAEFORD	NC	$3.59M
PHYSICIAN MANAGEMENT SERVICES OF TEXAS, LLC	ATHENS	TX	$2.47M
PHYSICIAN MANAGEMENT SERVICES OF EASTERN KENTUCKY, LLC	GLASGOW	KY	$2.12M
PHYSICIAN MANAGEMENT SERVICES OF OHIO II, LLC	CANTON	OH	$1.23M
PHYSICIAN MANAGEMENT SERVICES OF VIRGINIA, LLC	PENNINGTON GAP	VA	$928K
PHYSICIAN MANAGEMENT SERVICES OF MICHIGAN, LLC	MIDLAND	MI	$755K
PHYSICIAN MANAGEMENT SERVICES OF DELAWARE, LLC	WILMINGTON	DE	$101K
PHYSICIAN MANAGEMENT SERVICES OF NORTH CAROLINA, LLC	CERRO GORDO	NC	$98K
PHYSICIAN MANAGEMENT SERVICES OF WESTERN PENNSYLVANIA, LLC	ALTOONA	PA	$84K
PHYSICIAN MANAGEMENT SERVICES OF TENNESSEE, LLC	SPARTA	TN	$77K
PHYSICIAN MANAGEMENT SERVICES OF NEBRASKA, LLC	LINCOLN	NE	$62K
PHYSICIAN MANAGEMENT SERVICES OF OREGON, LLC	MADRAS	OR	$52K
PHYSICIAN MANAGEMENT SERVICES OF MASSACHUSETTS, LLC	GARDNER	MA	$38K
PHYSICIAN MANAGEMENT SERVICES OF ARKANSAS, LLC	MOUNTAIN HOME	AR	$35K
PHYSICIAN MANAGEMENT SERVICES OF LOUISIANA, LLC	RAYVILLE	LA	$29K
PHYSICIAN MANAGEMENT SERVICES OF WEST VIRGINIA, LLC	CLAY	WV	$29K
PHYSICIAN MANAGEMENT SERVICES OF WISCONSIN, LLC	LANCASTER	WI	$26K
PENNSYLVANIA PHYSICIANS SERVICES, LLC	PAOLI	PA	$22K
PHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC	SAINT CLOUD	MN	$21K

Code	Description	Claims	Beneficiaries	Total Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	11,239	8,608	$97K
90480		1,111	967	$25K
90472	Immunization administration, each additional vaccine (list separately)	1,798	1,408	$21K
90677		45	14	$8K
91320		37	34	$4K
90686		329	312	$1K
0013A		113	63	$1K
0134A		72	40	$943.50
0011A		22	16	$560.00
0012A		23	15	$440.00
0124A		30	15	$286.00
90460	Immunization administration through 18 years of age via any route, first or only component	19	16	$54.92
90715		15	15	$49.12