Elite Professional Providers, LLC

Elite Professional Providers, LLC was paid $143K by Medicaid between Oct 2023 and Dec 2024, across 21 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 40% of everything it billed.

33Billing provider infoELITE PROFESSIONAL PROVIDERS, LLC
SPRINGFIELD, MO 65807

33aNPI1891488433assigned 05/30/2023

33bProvider typeFamily Nurse Practitioner

28Total paid$143K

24GClaims10,317

24DCodes billed21

24AFirst – last monthOct 2023 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Missouri

Rank by total paid#40 of 745

Median peer was paid$11K

This provider vs. median13×

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

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

Year	Claims	Paid
2023	402	$4K
2024incomplete	9,915	$139K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	40%	3,131	1,858	$58K
99490	Ccm add 20min	14%	1,127	922	$20K
99308	Subsequent nursing facility care, per day, straightforward	12%	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.)	11%	1,299	910	$16K
90792	Psychiatric diagnostic evaluation with medical services	5.2%	588	407	$7K
99345	Prolong home eval add 15m	4.5%	96	69	$6K
99349		2.6%	158	95	$4K
99483	Prolong outpt/office vis	2.3%	337	238	$3K
99439		2.2%	246	212	$3K
99484		2.1%	1,052	889	$3K
99348		1.4%	117	79	$2K
99497		<1%	184	134	$1K

9 more codes

99307		<1%	84	$592.18
99350	Prolong home eval add 15m	<1%	36	$543.77
99407		<1%	81	$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.)	<1%	39	$382.10
90836		<1%	46	$184.95
69210		<1%	19	$142.56
90834	Psychotherapy session, about 45 minutes	<1%	22	$130.88
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	69	$127.27
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	20	$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 officialKELLEY, SHAWN (COO)