ELITE PROFESSIONAL PROVIDERS, LLC
NPI: 1891488433
· SPRINGFIELD, MO 65807
· 363LF0000X
$143K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
402 |
$4K |
| 2024 |
9,915 |
$139K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
|
3,131 |
1,858 |
$58K |
| 99490 |
Ccm add 20min |
1,127 |
922 |
$20K |
| 99308 |
|
1,566 |
1,109 |
$17K |
| G3002 |
Chronic pain mgmt 30 mins |
1,299 |
910 |
$16K |
| 90792 |
|
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 |
Chronic pain mgmt addl 15m |
39 |
39 |
$382.10 |
| 90836 |
|
46 |
34 |
$184.95 |
| 69210 |
|
19 |
13 |
$142.56 |
| 90834 |
|
22 |
15 |
$130.88 |
| 90833 |
|
69 |
56 |
$127.27 |
| G0439 |
Ppps, subseq visit |
20 |
20 |
$0.00 |