Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › NEOSHO › PRIME CARE FAMILY MEDICINE, INC

PRIME CARE FAMILY MEDICINE, INC

NPI: 1487908117 · NEOSHO, MO 64850 · Family Medicine Physician · NPI assigned 11/02/2012

$29K
Total Medicaid Paid
985
Total Claims
657
Beneficiaries
1
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialPENDERGRASS, CRAIG (OWNER)
NPI Enumeration Date11/02/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 146 $4K
2019 118 $4K
2020 115 $3K
2021 349 $9K
2022 257 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 985 657 $29K