Physician
Potter Plastic & Reconstructive Surgery, PA
Potter Plastic & Reconstructive Surgery, PA was paid $21K by Medicaid between Oct 2019 and Oct 2024, across 3 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 97% of everything it billed.
33Billing provider infoPOTTER PLASTIC & RECONSTRUCTIVE SURGERY, PA
HAYS, KS 67601
HAYS, KS 67601
33aNPI1215314380assigned 04/28/2015
33bProvider typeAllergy Physician
28Total paid$21K
24GClaims262
24DCodes billed3
24AFirst – last monthOct 2019 – Oct 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 | 17 | $1K | |
| 2020 | 15 | $2K | |
| 2022 | 14 | $2K | |
| 2023 | 141 | $7K | |
| 2024incomplete | 75 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 97% | 147 | 129 | $20K |
| 95117 | 1.8% | 54 | 24 | $382.74 | |
| 96160 | 1.5% | 61 | 53 | $313.76 |
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 officialPOTTER, KIRK (PRESIDENT)