Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

STATESBORO MEDICAL GROUP, LLC

NPI: 1013535657 · STATESBORO, GA 30458 · Urgent Care Clinic/Center · NPI assigned 07/09/2020

$135K
Total Medicaid Paid
2,205
Total Claims
1,944
Beneficiaries
7
Codes Billed
2023-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEGA, SREEVALLI (OWNER)
NPI Enumeration Date07/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,385 $77K
2024 820 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 595 557 $52K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 472 463 $41K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 224 220 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 191 179 $17K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 139 134 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 372 183 $210.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 212 208 $0.00