Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ELITE PROFESSIONAL PROVIDERS, LLC

NPI: 1891488433 · SPRINGFIELD, MO 65807 · Family Nurse Practitioner · NPI assigned 05/30/2023

$143K
Total Medicaid Paid
10,317
Total Claims
7,236
Beneficiaries
21
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKELLEY, SHAWN (COO)
NPI Enumeration Date05/30/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 402 $4K
2024 9,915 $139K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,131 1,858 $58K
99490 Ccm add 20min 1,127 922 $20K
99308 Subsequent nursing facility care, per day, straightforward 1,566 1,109 $17K
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 1,299 910 $16K
90792 Psychiatric diagnostic evaluation with medical services 588 407 $7K
99345 Prolong home eval add 15m 96 69 $6K
99349 158 95 $4K
99483 Prolong outpt/office vis 337 238 $3K
99439 246 212 $3K
99484 1,052 889 $3K
99348 117 79 $2K
99497 184 134 $1K
99307 84 55 $592.18
99350 Prolong home eval add 15m 36 28 $543.77
99407 81 54 $392.99
G3003 Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) 39 39 $382.10
90836 46 34 $184.95
69210 19 13 $142.56
90834 Psychotherapy, 45 minutes with patient 22 15 $130.88
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 69 56 $127.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 20 20 $0.00