CENTERWELL SENIOR PRIMARY CARE (MO) PC
NPI: 1639692098
· KANSAS CITY, MO 64111
· General Practice Physician
· NPI assigned 07/18/2017
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MARTINEZ, ANGIE controls 20+ related entities in our dataset. Read more
$299.01
Total Medicaid Paid
Provider Details
| Authorized Official | MARTINEZ, ANGIE (SENIOR CREDENTIALING PROFESSIONAL) |
| Parent Organization | CENTERWELL SENIOR PRIMARY CARE (MO) PC |
| NPI Enumeration Date | 07/18/2017 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, ANGIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
50 |
$0.00 |
| 2022 |
39 |
$0.00 |
| 2023 |
74 |
$299.01 |
| 2024 |
113 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
25 |
$299.01 |
| 1160F |
|
81 |
76 |
$0.00 |
| 1159F |
|
82 |
77 |
$0.00 |
| 3016F |
|
14 |
14 |
$0.00 |
| 3078F |
|
14 |
13 |
$0.00 |
| 3008F |
|
39 |
37 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |