Medicaid Provider Spending

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

CURANA HEALTH OF MISSOURI-KANSAS LLC

NPI: 1306165337 · LEES SUMMIT, MO 64081 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 06/01/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more

$1.45M
Total Medicaid Paid
91,648
Total Claims
58,047
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOWARD, NICOLE (SR VP OF ADMINISTRATIVE SERVICES)
NPI Enumeration Date06/01/2010

Related Entities

Other providers sharing the same authorized official: HOWARD, NICOLE

ProviderCityStateTotal Paid
CURANA HEALTH OF SOUTH CAROLINA PC NORTH CHARLESTON SC $6.39M
CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA $4.87M
CURANA HEALTH OF MASSACHUSETTS LLC SPRINGFIELD MA $2.59M
PHYSICIANS ELDERCARE PA DURHAM NC $2.57M
CURANA HEALTH OF MISSISSIPPI LLC FLOWOOD MS $1.35M
KENTWOOD FAMILY CLINIC LLC KENTWOOD LA $1.19M
CURANA HEALTH MEDICAL GROUP LLC AUSTIN TX $778K
CURANA HEALTH OF NEW MEXICO LLC ESPANOLA NM $771K
CURANA HEALTH OF NORTH CAROLINA PLLC DURHAM NC $740K
CURANA HEALTH OF NEVADA PLLC RENO NV $696K
CURANA HEALTH OF ARKANSAS LLC BENTONVILLE AR $522K
CURANA HEALTH OF IOWA PLLC OSCEOLA IA $425K
CURANA HEALTH OF TENNESSEE LLC MEMPHIS TN $318K
CURANA HEALTH OF ALABAMA LLC BIRMINGHAM AL $185K
CURANA HEALTH OF INDIANA LLC CORYDON IN $176K
CH SPECIALTY SERVICES NV REQUEIJO PC CARSON CITY NV $125K
CH SPECIALTY SERVICES TX PLLC AUSTIN TX $101K
CH SPECIALTY SERVICES MO LLC LEES SUMMIT MO $93K
CURANA HEALTH OF WEST VIRGINIA LLC MARTINSBURG WV $88K
CH SPECIALTY SERVICES MA PC SPRINGFIELD MA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,534 $166K
2019 14,312 $165K
2020 15,411 $209K
2021 12,175 $193K
2022 10,471 $198K
2023 16,339 $326K
2024 14,406 $189K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 33,253 20,356 $442K
99308 Subsequent nursing facility care, per day, straightforward 31,041 17,941 $278K
99254 2,382 2,144 $215K
99232 Subsequent hospital care, per day, moderate complexity 3,419 2,183 $120K
99310 Prolong nursin fac eval 15m 4,152 2,903 $112K
99223 Prolong inpt eval add15 m 682 629 $76K
99222 Initial hospital care, per day, moderate complexity 985 887 $73K
99307 2,850 1,898 $26K
99231 Subsequent hospital care, per day, straightforward or low complexity 967 762 $22K
99221 305 278 $17K
99253 259 236 $16K
99336 949 691 $11K
99306 Prolong nursin fac eval 15m 319 294 $10K
99255 133 125 $7K
99335 1,046 777 $5K
99305 366 342 $5K
99337 24 22 $4K
99318 269 264 $2K
99497 181 168 $988.76
99304 32 27 $930.60
99406 76 68 $648.38
99238 Hospital discharge day management, 30 minutes or less 13 13 $627.73
99358 Prolong nursin fac eval 15m 50 47 $306.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 151 146 $271.33
99334 120 81 $219.93
69210 30 29 $185.88
99350 Prolong home eval add 15m 157 103 $185.62
99233 Prolong inpt eval add15 m 20 16 $179.37
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 75 25 $143.29
99349 17 15 $14.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 151 150 $14.36
90792 Psychiatric diagnostic evaluation with medical services 20 12 $9.54
1160F 2,046 1,093 $0.00
3078F 669 436 $0.00
1159F 2,056 1,094 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 24 24 $0.00
1124F 22 21 $0.00
1126F 786 511 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 270 231 $0.00
1170F 116 115 $0.00
3074F 386 252 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 421 305 $0.00
G0008 Administration of influenza virus vaccine 32 32 $0.00
1123F 219 209 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 36 36 $0.00
1125F 17 16 $0.00
3075F 20 13 $0.00
3044F 34 27 $0.00