Physician
Prime Healthcare Kansas City - Physician Services LLC
Prime Healthcare Kansas City - Physician Services LLC was paid $879K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 39% of everything it billed.
33Billing provider infoPRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
KANSAS CITY, MO 64114
KANSAS CITY, MO 64114
33aNPI1427449487assigned 02/12/2015
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$879K
24GClaims33,590
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in Missouri
Rank by total paid#2 of 10
Median peer was paid$37K
This provider vs. median24×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 1,454 | $25K | |
| 2019 | 2,222 | $41K | |
| 2020 | 4,065 | $71K | |
| 2021 | 3,126 | $61K | |
| 2022 | 5,003 | $136K | |
| 2023 | 10,611 | $298K | |
| 2024incomplete | 7,109 | $249K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 39% | 8,784 | 3,394 | $346K |
| 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 | 22% | 4,763 | 3,991 | $191K |
| 99223 | Prolong inpt eval add15 m | 12% | 1,282 | 1,097 | $101K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 4,693 | 1,653 | $93K |
| 99239 | Hospital discharge day management, more than 30 minutes | 6.6% | 1,141 | 1,029 | $58K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.8% | 9,686 | 7,915 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 400 | 341 | $18K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 557 | 315 | $6K |
| 94375 | <1% | 1,103 | 906 | $6K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 50 | 12 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 163 | 137 | $4K |
| 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% | 41 | 35 | $3K |
13 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 105 | $2K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 53 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 24 | $313.15 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | $132.10 |
| 93000 | <1% | 14 | $121.32 | |
| 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% | 60 | $57.09 |
| 99305 | <1% | 17 | $52.25 | |
| 1160F | 0% | 222 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 120 | $0.00 |
| 3725F | 0% | 130 | $0.00 | |
| 3078F | 0% | 31 | $0.00 | |
| 3008F | 0% | 118 | $0.00 | |
| 3074F | 0% | 16 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.