Medicaid Provider Spending

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

PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC

NPI: 1427449487 · KANSAS CITY, MO 64114 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 02/12/2015

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

Authorized official DOAN, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$879K
Total Medicaid Paid
33,590
Total Claims
21,613
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date02/12/2015

Related Entities

Other providers sharing the same authorized official: DOAN, CHRISTOPHER

ProviderCityStateTotal Paid
DESERT VALLEY HOSPITAL, LLC VICTORVILLE CA $92.81M
PRIME HEALTHCARE SERVICES - ST MICHAELS LLC NEWARK NJ $67.67M
PRIME HEALTHCARE CENTINELA, LLC INGLEWOOD CA $50.16M
NORTH VISTA HOSPITAL LLC NORTH LAS VEGAS NV $31.56M
PRIME HEALTHCARE SERVICES - ST FRANCIS LLC LYNWOOD CA $27.65M
PRIME HEALTHCARE SERVICES LANDMARK LLC WOONSOCKET RI $26.18M
PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC RIVERDALE GA $25.96M
PRIME HEALTHCARE SERVICES - SHASTA LLC REDDING CA $22.75M
THE CITY HOSPITAL ASSOCIATION EAST LIVERPOOL OH $16.46M
PRIME HEALTHCARE SERVICES - RENO LLC RENO NV $15.09M
VERITAS HEALTH SERVICES, LLC CHINO CA $14.93M
PRIME HEALTHCARE PARADISE VALLEY LLC CHULA VISTA CA $13.85M
PRIME HEALTHCARE FOUNDATION - COSHOCTON, LLC COSHOCTON OH $13.32M
PRIME HEALTHCARE PARADISE VALLEY LLC NATIONAL CITY CA $12.56M
ALVARADO HOSPITAL, LLC SAN DIEGO CA $11.46M
PRIME HEALTHCARE SERVICES - MONTCLAIR, LLC MONTCLAIR CA $11.26M
PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC BLUE SPRINGS MO $10.51M
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC BRISTOL PA $8.71M
PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC GARDEN GROVE CA $6.67M
PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC LEHIGH ACRES FL $5.64M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,109 $249K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 8,784 3,394 $346K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,763 3,991 $191K
99223 Prolong inpt eval add15 m 1,282 1,097 $101K
99232 Subsequent hospital care, per day, moderate complexity 4,693 1,653 $93K
99239 Hospital discharge day management, more than 30 minutes 1,141 1,029 $58K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,686 7,915 $42K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 400 341 $18K
99309 Subsequent nursing facility care, per day, low to moderate complexity 557 315 $6K
94375 1,103 906 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 50 12 $5K
99222 Initial hospital care, per day, moderate complexity 163 137 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 41 35 $3K
99238 Hospital discharge day management, 30 minutes or less 105 94 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 53 50 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 24 12 $313.15
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 13 $132.10
93000 14 12 $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) 60 40 $57.09
99305 17 13 $52.25
1160F 222 191 $0.00
G9920 Screening performed and negative 120 108 $0.00
3725F 130 114 $0.00
3078F 31 25 $0.00
3008F 118 103 $0.00
3074F 16 13 $0.00