Medicaid Provider Spending

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

JAYHAWK PRIMARY CARE INC

NPI: 1417919283 · GLADSTONE, MO 64119 · Family Medicine Physician · NPI assigned 04/05/2006

$6K
Total Medicaid Paid
137
Total Claims
133
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialJORDAN, CARRIE (CHIEF PRACTICE EXECUTIVE)
Parent OrganizationJAYHAWK PRIMARY CARE INC
NPI Enumeration Date04/05/2006

Related Entities

Other providers sharing the same authorized official: JORDAN, CARRIE

ProviderCityStateTotal Paid
JAYHAWK PRIMARY CARE INC PRAIRIE VILLAGE KS $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 137 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93 93 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $905.40
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $648.32
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 19 16 $378.20