Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KS › Wichita › NPI 1568910768
Physician

Ict Internal Medicine & Pain Management, LLC

Ict Internal Medicine & Pain Management, LLC was paid $1.03M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoICT INTERNAL MEDICINE & PAIN MANAGEMENT, LLC
WICHITA, KS 67212
33aNPI1568910768assigned 09/15/2016
28Total paid$1.03M
24GClaims67,880
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Kansas

Rank by total paid#6 of 67
Median peer was paid$12K
This provider vs. median88×

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.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201811,978$96K
201910,194$121K
20209,618$179K
202110,538$206K
202210,499$184K
20238,144$138K
2024incomplete6,909$107K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 79% 30,790 25,004 $820K
80305 14% 28,095 23,502 $141K
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 4.5% 912 727 $47K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 614 478 $10K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 165 151 $4K
20610 <1% 93 70 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 31 26 $1K
99205 Prolong outpt/office vis <1% 15 13 $1K
90756 <1% 139 113 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 113 83 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 98 97 $957.21
90662 <1% 56 42 $938.96
10 more codes
90688 <1% 29 $249.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 217 $10.56
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed <1% 83 $10.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 1,373 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 1,376 $0.00
99406 0% 98 $0.00
1036F 0% 104 $0.00
G0008 Administration of influenza virus vaccine 0% 51 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 3,127 $0.00
4004F 0% 301 $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 officialCARLSON, ANGELA (PRACTICE MANAGER)