Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › WICHITA › WESLEY MEDICAL CENTER LLC

WESLEY MEDICAL CENTER LLC

NPI: 1912052630 · WICHITA, KS 67214 · Pediatric Critical Care Medicine Physician · NPI assigned 01/24/2007

$2K
Total Medicaid Paid
62
Total Claims
62
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialCASTLEBERRY, NICOLE (CFO)
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: CASTLEBERRY, NICOLE

ProviderCityStateTotal Paid
WESLEY MEDICAL CENTER LLC WICHITA KS $30.22M
WESLEY MEDICAL CENTER LLC WICHITA KS $284K
WESLEY MEDICAL CENTER LLC WICHITA KS $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 62 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 38 38 $769.88
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $490.08
90472 Immunization administration, each additional vaccine (list separately) 12 12 $425.46