Medicaid Provider Spending

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

SUPREME MEDICAL CENTER LLC

NPI: 1023573805 · HOUSTON, TX 77088 · Clinic/Center · NPI assigned 02/05/2019

$1K
Total Medicaid Paid
336
Total Claims
167
Beneficiaries
9
Codes Billed
2020-07
First Month
2022-01
Last Month

Provider Details

Authorized OfficialGREEN, BRITTANY (OWNER)
NPI Enumeration Date02/05/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 172 $0.00
2022 164 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 19 18 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 37 20 $89.16
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 37 20 $35.91
95004 Percutaneous tests with allergenic extracts, immediate type reaction 73 27 $0.00
4551F 58 15 $0.00
99383 41 15 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 19 18 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 36 20 $0.00
99441 16 14 $0.00