Physician
Prime Healthcare Physician Services - Providence INC
Prime Healthcare Physician Services - Providence INC was paid $1.44M by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoPRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
SHAWNEE, KS 66217
SHAWNEE, KS 66217
33aNPI1356683213assigned 03/19/2013
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$1.44M
24GClaims94,790
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DOAN, CHRISTOPHER controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 12,215 | $280K | |
| 2019 | 10,868 | $215K | |
| 2020 | 5,375 | $124K | |
| 2021 | 4,832 | $118K | |
| 2022 | 10,726 | $202K | |
| 2023 | 32,585 | $306K | |
| 2024incomplete | 18,189 | $195K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 54% | 21,826 | 19,672 | $785K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 8,904 | 8,101 | $233K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.9% | 6,466 | 2,203 | $114K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.5% | 10,946 | 9,225 | $51K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 868 | 738 | $38K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.2% | 1,119 | 1,074 | $31K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.1% | 1,484 | 1,367 | $30K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 1,847 | 698 | $29K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.8% | 500 | 477 | $26K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 344 | 322 | $20K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 687 | 554 | $19K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,452 | 678 | $10K |
47 more codes
| 99284 | Emergency room visit (serious) | <1% | 165 | $7K |
| 99336 | <1% | 761 | $7K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 343 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 477 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 123 | $5K |
| 90686 | <1% | 355 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 489 | $3K |
| 99307 | <1% | 437 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 54 | $2K |
| 87428 | <1% | 55 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 28 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | $2K |
| 20610 | <1% | 47 | $1K | |
| 99335 | <1% | 71 | $747.24 | |
| 93296 | <1% | 58 | $687.14 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 79 | $350.50 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 489 | $308.09 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | $267.48 |
| 99305 | <1% | 15 | $247.02 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $224.30 |
| 90658 | <1% | 39 | $204.80 | |
| 87807 | <1% | 17 | $128.91 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $100.39 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 46 | $4.97 |
| 1126F | 0% | 1,065 | $0.00 | |
| 3008F | 0% | 6,922 | $0.00 | |
| 3075F | 0% | 305 | $0.00 | |
| 3074F | 0% | 4,292 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 196 | $0.00 |
| 1125F | 0% | 427 | $0.00 | |
| 99000 | 0% | 204 | $0.00 | |
| 3079F | 0% | 1,134 | $0.00 | |
| 1036F | 0% | 406 | $0.00 | |
| 1170F | 0% | 15 | $0.00 | |
| 3080F | 0% | 101 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 3044F | 0% | 12 | $0.00 | |
| 1160F | 0% | 9,374 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 1,579 | $0.00 |
| 3725F | 0% | 2,437 | $0.00 | |
| 3078F | 0% | 4,165 | $0.00 | |
| 3077F | 0% | 545 | $0.00 | |
| 3288F | 0% | 473 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 355 | $0.00 |
| 1159F | 0% | 72 | $0.00 | |
| 4013F | 0% | 12 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 27 | $0.00 |
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 officialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
Parent organizationPRIME HEALTHCARE SERVICES, INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.