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KENNETT PEDIATRICS AND ASOLESCENTS MEDICINE LLC
KENNETT PEDIATRICS AND ASOLESCENTS MEDICINE LLC
NPI: 1629511415
· KENNETT, MO 63857
· Family Medicine Physician
· NPI assigned 11/28/2016
$106K
Total Medicaid Paid
Provider Details
| Authorized Official | LEDBETTER, AMELIA (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 11/28/2016 |
Related Entities
Other providers sharing the same authorized official: LEDBETTER, AMELIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
51 |
$674.22 |
| 2021 |
1,357 |
$30K |
| 2022 |
2,288 |
$48K |
| 2023 |
1,305 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,298 |
1,277 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,272 |
2,240 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,087 |
1,039 |
$27K |
| 87807 |
|
322 |
321 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
22 |
$1K |