KANSAS CITY SOUTH MO CONSULTING LLC

$3K

Total Medicaid Paid

230

Total Claims

24

Beneficiaries

1

Codes Billed

2022-10

First Month

2023-01

Last Month

Authorized Official	GOLDNER, SAMUEL (AUTHORIZED PERSON)
NPI Enumeration Date	03/03/2021

Provider	City	State	Total Paid
PGN OP SUMMIT LLC	COLUMBUS	OH	$1.41M
SRZ OP AUTUMN LLC	RAYTOWN	MO	$113K
INDEPENDENCE MO CONSULTING LLC	INDEPENDENCE	MO	$83K
TANDC OP LLC	TOWN AND COUNTRY	MO	$69K
LHW OP LLC	LIBERTY	MO	$57K
SRZ OP ROLLA LLC	ROLLA	MO	$55K
SRZ OP FRONTIER LLC	SAINT CHARLES	MO	$44K
SIRO OP OAKWOOD LLC	NORMANDY	MO	$38K
CARMEL HILLS MO CONSULTING LLC	INDEPENDENCE	MO	$32K
SRZ OP ASHTON LLC	LIBERTY	MO	$31K
SRZ OP MEADOW VIEW LLC	HARRISONVILLE	MO	$27K
ABBEY WOODS OPERATIONS LLC	SAINT JOSEPH	MO	$20K
SJ3 OP DIVERS LLC	SAINT JOSEPH	MO	$18K
SRZ OP RIVERBEND LLC	LEXINGTON	MO	$8K
PREST OP LLC	UNION GAP	WA	$4K
SRZ OP VALLEY VIEW LLC	MOBERLY	MO	$3K
SIRO OP ROYAL OAK LLC	SAINT LOUIS	MO	$3K
SJ3 OP CHATEAU LLC	SAINT JOSEPH	MO	$2K
RAYMORE MO CONSULTING LLC	RAYMORE	MO	$2K
BLUE RIVER MO CONSULTING LLC	KANSAS CITY	MO	$2K

Year	Claims	Total Paid
2022	131	$2K
2023	99	$2K

Code	Description	Claims	Beneficiaries	Total Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	230	24	$3K

Medicaid Provider Spending