Medicaid Provider Spending

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

KANSAS PEDIATRIC NEUROLOGY CENTER LLC

NPI: 1184281131 · WICHITA, KS 67206 · Pediatrics Physician · NPI assigned 05/24/2019

$809K
Total Medicaid Paid
12,406
Total Claims
12,209
Beneficiaries
8
Codes Billed
2019-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEL-NABBOUT, BASSEM (DIRECT OWNER)
NPI Enumeration Date05/24/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 399 $21K
2020 1,658 $108K
2021 1,418 $87K
2022 2,900 $191K
2023 3,140 $198K
2024 2,891 $204K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,420 2,386 $237K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,546 3,508 $195K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,849 3,797 $139K
95819 978 962 $103K
95816 802 794 $99K
64642 462 431 $19K
64643 333 315 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 16 $446.40