Physician
Prime Healthcare Physician Services - Providence INC
Prime Healthcare Physician Services - Providence INC was paid $69K by Medicaid between May 2021 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoPRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
LEAVENWORTH, KS 66048
LEAVENWORTH, KS 66048
33aNPI1972119741assigned 09/17/2020
33bProvider typeGeneral Practice Physician
28Total paid$69K
24GClaims4,486
24DCodes billed13
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Kansas
Rank by total paid#4 of 15
Median peer was paid$39K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2021 | 281 | $10K | |
| 2022 | 191 | $5K | |
| 2023 | 1,546 | $20K | |
| 2024incomplete | 2,468 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 932 | 881 | $29K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 22% | 248 | 239 | $15K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 186 | 181 | $10K |
| 87428 | 10% | 256 | 253 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.6% | 56 | 56 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 140 | 135 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 20 | 19 | $358.76 |
| 1160F | 0% | 1,162 | 1,128 | $0.00 | |
| 3078F | 0% | 261 | 253 | $0.00 | |
| 3288F | 0% | 118 | 116 | $0.00 | |
| 3008F | 0% | 850 | 825 | $0.00 | |
| 3074F | 0% | 245 | 239 | $0.00 |
1 more codes
| 3075F | 0% | 12 | $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 officialDULNY, DAVID (PROVIDENCE CFO)
Parent organizationPRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC