KUFUOR KINGO PEDAITRICS PC SOS Flagged
3131 LA CANADA ST STE 231, LAS VEGAS, NV 89109
NPI Number
1124240817
Practice location · View on Google Maps
SOS Verification: Questionable
Entity Name: KUFUOR KINGO PEDIATRICS, P.C.
Entity Number: E0038972006-9
Entity Type: Domestic Professional Corporation
Entity Status: Revoked
Formation Date: 2006-01-23
Status Changed: 2025-02-01
Name Match: 60%
SOS Status: Revoked
Registered Agent
Name: ABBAS R. KINGO M.D. / DIRECTOR
Type: Non-Commercial Registered Agent
Address: 3006 SOUTH MARYLAND PKWY #530, LAS VEGAS, NV, 89109
Research Report
Operates as: Pioneer Pediatrics (possible successor)
SOS entity revoked but practice appears active. Located inside Sunrise Hospital per Google Maps. Original officers Abbas Kingo MD and Nana Kufuor MD are both listed as inactive. Current president: Susan Hirata (active). Dr. Nana Kufuor has an active entity PIONEER PEDIATRICS (E0075202005-2). Practice still listed on Yelp, Doximity, US News, and HCA directories. Formed 2006-01-23, revocation date not available from NVSOS.
Needs Manual Review
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | Susan Hirata | 3196 S. MARYLAND PKW, STE 208, LAS VEGAS, NV | Active |
Total Medicaid Payments
$2,514,971
+207% vs specialty average
Patients Seen
65,080
Total Claims
67,676
$ Per Patient
$39
Specialty avg: $37
Specialty Rank
#24 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
Claims per Patient
1.0
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $116,740 | |
| 2019 | $308,640 | |
| 2020 | $309,293 | |
| 2021 | $458,422 | |
| 2022 | $487,712 | |
| 2023 | $462,033 | |
| 2024 | $372,132 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 7,752 | $491,143 | 19.5% | $63 |
| 99391 | Wellness checkup — infant (under 1 year) | 5,189 | $467,669 | 18.6% | $90 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 9,255 | $402,094 | 16.0% | $43 |
| 99392 | Wellness checkup — ages 1-4 | 3,463 | $331,779 | 13.2% | $96 |
| 99393 | Wellness checkup — ages 5-11 | 1,531 | $141,279 | 5.6% | $92 |
| 99212 | Office visit for a minor problem (established patient) | 3,643 | $135,622 | 5.4% | $37 |
| 99460 | Newborn baby care — first exam in the hospital | 980 | $81,981 | 3.3% | $84 |
| 99394 | Wellness checkup — ages 12-17 | 704 | $70,083 | 2.8% | $100 |
| 99070 | Special medical service | 6,047 | $66,285 | 2.6% | $11 |
| 99238 | Hospital discharge — doctor manages your release (30 minutes or less) | 959 | $60,295 | 2.4% | $63 |
| 94780 | Breathing test or lung function test | 950 | $39,435 | 1.6% | $42 |
| Q3014 | Telehealth originating site facility fee | 1,696 | $37,606 | 1.5% | $22 |
| 99214 | Office visit for a moderate problem (established patient) | 412 | $37,276 | 1.5% | $90 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1,816 | $31,127 | 1.2% | $17 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 619 | $27,445 | 1.1% | $44 |
| 99401 | Medical service or procedure | 2,738 | $23,939 | 1.0% | $9 |
| 99188 | Other medical service | 1,828 | $18,820 | 0.7% | $10 |
| 92567 | Hearing or speech test or therapy | 852 | $9,907 | 0.4% | $12 |
| 99177 | Other medical service | 2,114 | $5,747 | 0.2% | $3 |
| 96127 | Brief emotional or behavioral screening (like a depression or anxiety questionnaire) | 1,094 | $4,720 | 0.2% | $4 |
| 99383 | Wellness checkup — new patient, ages 5-11 | 43 | $4,483 | 0.2% | $104 |
| 90471 | Giving a vaccine by injection (shot) | 216 | $4,332 | 0.2% | $20 |
| 99211 | Simple office visit — quick check-in with a nurse or doctor | 291 | $3,820 | 0.2% | $13 |
| G0444 | Annual depression screening | 243 | $3,537 | 0.1% | $15 |
| 99381 | Wellness checkup — new patient, infant (under 1 year) | 29 | $3,137 | 0.1% | $108 |
| 99462 | Newborn baby care — subsequent days | 85 | $2,983 | 0.1% | $35 |
| 96110 | Developmental screening test for children (autism, learning, speech) | 355 | $2,454 | 0.1% | $7 |
| 99384 | Wellness checkup — new patient, ages 12-17 | 12 | $1,547 | 0.1% | $129 |
| 0072A | Medical service or procedure | 47 | $1,401 | 0.1% | $30 |
| 0071A | Medical service or procedure | 32 | $1,095 | 0.0% | $34 |
| 36416 | Finger or heel stick for blood collection | 301 | $912 | 0.0% | $3 |
| 90472 | Additional vaccine injection at the same visit | 20 | $338 | 0.0% | $17 |
| 90651 | HPV vaccine (protects against cancer-causing virus) | 274 | $241 | 0.0% | $1 |
| 94640 | Breathing test or lung function test | 15 | $175 | 0.0% | $12 |
| 87275 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 15 | $108 | 0.0% | $7 |
| 87276 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 15 | $108 | 0.0% | $7 |
| 90686 | Vaccine or immunization | 2,093 | $44 | 0.0% | $0 |
| 90677 | Vaccine or immunization | 615 | $3 | 0.0% | $0 |
| 90697 | Vaccine or immunization | 68 | $0 | 0.0% | $0 |
| 90619 | Vaccine or immunization | 53 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 120 | $0 | 0.0% | $0 |
| 90620 | Vaccine or immunization | 13 | $0 | 0.0% | $0 |
| 90723 | DTaP-HepB-IPV combination vaccine | 78 | $0 | 0.0% | $0 |
| 90696 | DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio) | 44 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 922 | $0 | 0.0% | $0 |
| 87804 | Flu test (rapid) | 15 | $0 | 0.0% | $0 |
| 90744 | Hepatitis B vaccine (child dose) | 362 | $0 | 0.0% | $0 |
| 90680 | Vaccine or immunization | 1,817 | $0 | 0.0% | $0 |
| 91307 | Medical service or procedure | 88 | $0 | 0.0% | $0 |
| G2012 | Brief communication technology-based service, for example. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services | 774 | $0 | 0.0% | $0 |
| 90687 | Vaccine or immunization | 13 | $0 | 0.0% | $0 |
| 90710 | MMRV vaccine (measles, mumps, rubella, and chickenpox) | 414 | $0 | 0.0% | $0 |
| 99051 | Special medical service | 14 | $0 | 0.0% | $0 |
| 99000 | Special medical service | 246 | $0 | 0.0% | $0 |
| 97802 | Medical service or procedure | 51 | $0 | 0.0% | $0 |
| 90647 | Haemophilus influenzae type b (Hib) vaccine | 272 | $0 | 0.0% | $0 |
| 90648 | Haemophilus influenzae type b (Hib) vaccine (4-dose) | 12 | $0 | 0.0% | $0 |
| 90698 | Vaccine or immunization | 1,377 | $0 | 0.0% | $0 |
| 90715 | Tdap vaccine (tetanus, diphtheria, and whooping cough booster) | 55 | $0 | 0.0% | $0 |
| 90685 | Vaccine or immunization | 19 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 2,506 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.