SME KENTUCKY PSC
NPI: 1295208403
· KANSAS CITY, MO 64116
· General Practice Physician
· NPI assigned 01/10/2019
$166K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BRIMMO, OLUBUSOLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
837 |
$0.00 |
| 2022 |
654 |
$0.00 |
| 2023 |
5,493 |
$166K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
388 |
283 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
244 |
212 |
$58K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
105 |
97 |
$26K |
| 99205 |
Prolong outpt/office vis |
31 |
20 |
$5K |
| 3016F |
|
806 |
806 |
$0.00 |
| 1159F |
|
903 |
903 |
$0.00 |
| 99342 |
|
401 |
376 |
$0.00 |
| 1160F |
|
775 |
775 |
$0.00 |
| 1158F |
|
82 |
82 |
$0.00 |
| 1000F |
|
890 |
890 |
$0.00 |
| 99341 |
|
481 |
476 |
$0.00 |
| 1125F |
|
192 |
192 |
$0.00 |
| 3351F |
|
132 |
132 |
$0.00 |
| 99343 |
|
553 |
543 |
$0.00 |
| 1170F |
|
249 |
249 |
$0.00 |
| 1126F |
|
301 |
301 |
$0.00 |
| 1101F |
|
225 |
225 |
$0.00 |
| 3008F |
|
56 |
56 |
$0.00 |
| 99349 |
|
15 |
15 |
$0.00 |
| 1034F |
|
71 |
71 |
$0.00 |
| 3352F |
|
43 |
43 |
$0.00 |
| 99344 |
|
41 |
41 |
$0.00 |