STARLIGHT PEDIATRICS URGENT CARE, PLLC
NPI: 1073016622
· CASA GRANDE, AZ 85122
· 261QU0200X
$2.36M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
836 |
$29K |
| 2019 |
3,519 |
$209K |
| 2020 |
2,512 |
$180K |
| 2021 |
5,303 |
$371K |
| 2022 |
10,864 |
$653K |
| 2023 |
7,221 |
$502K |
| 2024 |
5,885 |
$415K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
14,345 |
13,519 |
$1.22M |
| 99203 |
|
5,763 |
5,509 |
$491K |
| 99214 |
|
4,949 |
4,714 |
$426K |
| 99204 |
|
1,872 |
1,711 |
$181K |
| 87880 |
|
3,614 |
3,419 |
$28K |
| 87804 |
|
1,412 |
1,353 |
$11K |
| 87807 |
|
592 |
580 |
$3K |
| 96372 |
|
417 |
391 |
$3K |
| 81002 |
|
1,007 |
951 |
$2K |
| 94640 |
|
49 |
45 |
$253.84 |
| 99000 |
|
1,830 |
1,616 |
$90.10 |
| J8540 |
Oral dexamethasone |
71 |
66 |
$13.00 |
| J1100 |
Dexamethasone sodium phos |
155 |
144 |
$11.34 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$5.53 |
| J2405 |
Ondansetron hcl injection |
13 |
13 |
$0.56 |
| 87400 |
|
18 |
14 |
$0.00 |
| J1741 |
Ibuprofen injection |
20 |
12 |
$0.00 |