Medicaid Provider Spending

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

MARIA MEDICAL GROUP, LLC

NPI: 1053740092 · WICHITA, KS 67226 · Urgent Care Clinic/Center · NPI assigned 11/08/2013

$1.72M
Total Medicaid Paid
48,113
Total Claims
42,710
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMANSOOR, SAMRAH (MEDICAL DIRECTOR)
NPI Enumeration Date11/08/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,063 $116K
2019 4,214 $159K
2020 3,947 $124K
2021 7,715 $263K
2022 12,276 $455K
2023 7,930 $302K
2024 8,968 $300K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,155 11,156 $583K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,215 4,977 $434K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 5,662 5,413 $173K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,623 4,322 $149K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,450 2,388 $148K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,374 2,627 $65K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,447 3,112 $39K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 439 427 $37K
87634 536 530 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,018 2,943 $26K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 96 95 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 199 194 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,956 1,805 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 234 210 $2K
87807 103 101 $1K
81003 719 684 $918.43
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 13 $455.94
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13 13 $453.46
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13 13 $453.46
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 13 13 $447.61
71046 Radiologic examination, chest; 2 views 17 14 $212.52
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 189 170 $135.06
81025 14 12 $89.16
94760 214 197 $73.30
J1885 Injection, ketorolac tromethamine, per 15 mg 29 29 $72.30
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 13 $61.17
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12 12 $53.17
36415 Collection of venous blood by venipuncture 85 75 $1.08
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 46 25 $0.00
99000 1,213 1,127 $0.00