Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › MISSION › DOC SHOP, PA

DOC SHOP, PA

NPI: 1275139305 · MISSION, KS 66205 · Family Medicine Physician · NPI assigned 12/04/2020

$28K
Total Medicaid Paid
924
Total Claims
673
Beneficiaries
3
Codes Billed
2021-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEE, SHARON (PRESIDENT)
NPI Enumeration Date12/04/2020

Related Entities

Other providers sharing the same authorized official: LEE, SHARON

ProviderCityStateTotal Paid
LONGLIFE HEALTH CARE ANNANDALE VA $4.76M
RETINA CONSULTANTS OF CAROLINA, PA GREENVILLE SC $128K
IDAHO PHYSICAL MEDICINE & REHABILITATION BOISE ID $2K
SUNSET FOCUS OPTOMETRY SAN FRANCISCO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $385.32
2022 225 $6K
2023 371 $11K
2024 316 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 836 599 $28K
80305 43 38 $191.31
36415 Collection of venous blood by venipuncture 45 36 $5.00