Medicaid Provider Spending

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

LETS INC

NPI: 1043940323 · JACKSON, OH 45640 · Urgent Care Clinic/Center · NPI assigned 06/10/2022

$118K
Total Medicaid Paid
3,627
Total Claims
2,646
Beneficiaries
10
Codes Billed
2022-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTOMLIN, SAMUEL (APRN/OWNER)
NPI Enumeration Date06/10/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 567 $4K
2023 1,198 $49K
2024 1,862 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,355 1,068 $79K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 798 539 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 319 278 $12K
87428 127 84 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 59 54 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 215 186 $849.34
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 447 192 $670.17
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 65 52 $371.96
87430 128 97 $365.69
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 114 96 $230.04