DEDICATED PHYSICIANS GROUP OF KANSAS LLC

NPI: 1467100362 · MIAMI GARDENS, FL 33169 · Internal Medicine Physician · NPI assigned 03/10/2022

$1K

Total Medicaid Paid

5,321

Total Claims

4,062

Beneficiaries

Codes Billed

2023-02

First Month

2024-11

Last Month

Provider Details

Authorized Official	CHEN, MARY (AUTHORIZED OFFICIAL)
NPI Enumeration Date	03/10/2022

Other providers sharing the same authorized official: CHEN, MARY

Provider	City	State	Total Paid
PMR VIRGINIA HOLDING, LLC	MIAMI GARDENS	FL	$79K
DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC	MIAMI	FL	$6K
DEDICATED PENNSYLVANIA HOLDING, LLC	PHILADELPHIA	PA	$6K
MARY CHEN MD INC	WALNUT	CA	$971.60
JENCARE NEIGHBORHOOD MEDICAL NEW MARKET, LLC	NEWPORT NEWS	VA	$450.12
PMR VIRGINIA HOLDING, LLC	HAMPTON	VA	$187.35
DEDICATED PHYSICIANS GROUP OF TEXAS PLLC	MIAMI GARDENS	FL	$106.43
JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC	RICHMOND	VA	$18.38
JENCARE NEIGHBORHOOD MEDICAL CENTER VIRGINIA BEACH LLC	VIRGINIA BEACH	VA	$0.00
DEDICATED PHYSICIANS GROUP OF MICHIGAN, PLLC	MIAMI GARDENS	FL	$0.00

Year	Claims	Total Paid
2023	3,674	$744.92
2024	1,647	$573.84

Code	Claims	Beneficiaries	Total Paid
99213	577	459	$724.28
99212	285	224	$594.48
1111F	906	667	$0.00
3074F	204	175	$0.00
1170F	91	68	$0.00
3075F	104	90	$0.00
3078F	680	543	$0.00
1159F	1,237	918	$0.00
1160F	1,237	918	$0.00