Medicaid Provider Spending

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

HOLY FAMILY MEDICAL INC

NPI: 1215593249 · WICHITA, KS 67211 · Family Medicine Physician · NPI assigned 05/15/2019

$3.13M
Total Medicaid Paid
37,594
Total Claims
35,707
Beneficiaries
52
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHANEL, BRENDA (CEO)
NPI Enumeration Date05/15/2019

Related Entities

Other providers sharing the same authorized official: THANEL, BRENDA

ProviderCityStateTotal Paid
HOLY FAMILY MEDICAL ASSOCIATES LLC WICHITA KS $639K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 5,341 $153K
2021 8,868 $703K
2022 10,065 $1.09M
2023 8,795 $843K
2024 4,525 $334K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,112 11,140 $1.69M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,286 3,147 $508K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,477 1,452 $253K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,432 1,407 $241K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 928 919 $170K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 467 440 $88K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 198 196 $38K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 179 175 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 97 97 $19K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,039 787 $13K
90472 Immunization administration, each additional vaccine (list separately) 1,469 1,443 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,531 2,494 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 48 47 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 544 534 $10K
99173 2,910 2,857 $9K
92552 2,975 2,919 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 37 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $3K
0001A 49 47 $502.00
0002A 29 27 $440.00
91300 152 131 $213.02
90686 683 680 $164.79
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 890 874 $90.00
81002 208 196 $6.78
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 429 409 $0.00
90734 381 373 $0.00
T1015 Clinic visit/encounter, all-inclusive 304 288 $0.00
3078F 314 308 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 192 95 $0.00
90671 28 28 $0.00
90715 54 52 $0.00
90670 162 158 $0.00
3725F 117 116 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 26 24 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 13 13 $0.00
90700 27 27 $0.00
90633 46 45 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 14 13 $0.00
4551F 47 47 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 395 382 $0.00
90620 186 183 $0.00
87428 482 477 $0.00
90651 234 230 $0.00
3074F 28 28 $0.00
3353F 100 100 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 15 $0.00
83036 Hemoglobin; glycosylated (A1C) 27 27 $0.00
G9579 No documentation of signed an opioid treatment agreement at least once during opioid therapy 13 12 $0.00
90647 56 53 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 14 14 $0.00
1036F 14 14 $0.00
90656 117 117 $0.00