SAN LUIS WALK-IN CLINIC, INC.
NPI: 1083229843
· SAN LUIS, AZ 85336
· 261QU0200X
$6.76M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
5,955 |
$373K |
| 2022 |
50,672 |
$3.14M |
| 2023 |
33,690 |
$1.59M |
| 2024 |
22,209 |
$1.65M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
31,205 |
26,212 |
$6.76M |
| 99212 |
|
25,790 |
18,409 |
$2K |
| 99213 |
|
7,293 |
6,111 |
$164.74 |
| 96372 |
|
3,055 |
2,339 |
$131.01 |
| 99202 |
|
1,664 |
1,261 |
$100.12 |
| 81000 |
|
4,264 |
3,161 |
$24.12 |
| J1885 |
Ketorolac tromethamine inj |
1,433 |
1,068 |
$2.22 |
| J0696 |
Ceftriaxone sodium injection |
809 |
619 |
$0.53 |
| 3075F |
|
1,352 |
1,131 |
$0.00 |
| 3080F |
|
451 |
383 |
$0.00 |
| 82962 |
|
181 |
127 |
$0.00 |
| 3079F |
|
2,270 |
1,864 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
491 |
369 |
$0.00 |
| 3008F |
|
13,455 |
10,663 |
$0.00 |
| 3074F |
|
5,060 |
4,111 |
$0.00 |
| 99214 |
|
206 |
204 |
$0.00 |
| 87426 |
|
773 |
763 |
$0.00 |
| 93000 |
|
186 |
121 |
$0.00 |
| 94640 |
|
13 |
13 |
$0.00 |
| 1125F |
|
22 |
13 |
$0.00 |
| 87804 |
|
2,394 |
1,762 |
$0.00 |
| J2550 |
Promethazine hcl injection |
122 |
103 |
$0.00 |
| 1160F |
|
616 |
341 |
$0.00 |
| 99211 |
|
221 |
163 |
$0.00 |
| 3078F |
|
4,810 |
3,901 |
$0.00 |
| 3077F |
|
842 |
634 |
$0.00 |
| 81025 |
|
590 |
519 |
$0.00 |
| 87880 |
|
2,128 |
1,716 |
$0.00 |
| 1159F |
|
498 |
278 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
233 |
232 |
$0.00 |
| J2930 |
Methylprednisolone injection |
37 |
26 |
$0.00 |
| 99203 |
|
62 |
38 |
$0.00 |