FREEDOM URGENT CARE PLLC

NPI: 1104153998 · HARKER HEIGHTS, TX 76548 · Urgent Care Clinic/Center · NPI assigned 11/16/2009

$1.12M

Total Medicaid Paid

33,395

Total Claims

26,740

Beneficiaries

Codes Billed

2020-07

First Month

2024-12

Last Month

Provider Details

Authorized Official	PETROVICH, STEPHEN (EVP GENERAL COUNSEL)
NPI Enumeration Date	11/16/2009

Other providers sharing the same authorized official: PETROVICH, STEPHEN

Provider	City	State	Total Paid
LOVELACE HEALTH SYSTEM, LLC	ALBUQUERQUE	NM	$57.71M
LOVELACE HEALTH SYSTEM LLC	ALBUQUERQUE	NM	$45.27M
SOUTHWEST MEDICAL ASSOCIATES, LLC	ALBUQUERQUE	NM	$41.40M
LOVELACE HEALTH SYSTEM, LLC	ALBUQUERQUE	NM	$31.24M
LOVELACE HEALTH SYSTEM LLC	ROSWELL	NM	$20.13M
JACKSONVILLE HOSPITAL LLC	JACKSONVILLE	TX	$9.41M
HENDERSON HOSPITAL, LLC	HENDERSON	TX	$8.52M
ATHENS HOSPITAL, LLC	ATHENS	TX	$8.32M
ETMC PHYSICIAN GROUP INC.	TYLER	TX	$8.03M
TYLER REGIONAL HOSPITAL LLC	TYLER	TX	$7.94M
LOVELACE UNM REHABILITATION HOSPITAL LLC	ALBUQUERQUE	NM	$6.30M
POCATELLO HOSPITAL LLC	POCATELLO	ID	$6.11M
JACKSONVILLE HOSPITAL LLC	JACKSONVILLE	TX	$5.93M
AHS PRYOR HOSPITAL, LLC	PRYOR	OK	$5.61M
BSA HOSPITAL LLC	AMARILLO	TX	$4.96M
PITTSBURG HOSPITAL LLC	PITTSBURG	TX	$4.83M
AHS CLAREMORE REGIONAL HOSPITAL, LLC.	CLAREMORE	OK	$4.81M
AHS HENRYETTA HOSPITAL LLC	HENRYETTA	OK	$4.27M
PITTSBURG HOSPITAL LLC	PITTSBURG	TX	$3.98M
TOPEKA HOSPITAL, LLC	TOPEKA	KS	$3.94M

Code	Description	Claims	Beneficiaries	Total Paid
99204		3,722	3,496	$267K
87635		5,492	5,102	$229K
99214		4,899	4,563	$208K
99203		3,055	2,778	$144K
87804		7,196	3,383	$86K
99213		2,716	2,541	$82K
87811		2,898	1,790	$68K
87880		1,408	1,277	$16K
87426		138	134	$4K
99215	Prolong outpt/office vis	60	58	$4K
99000		306	285	$3K
99205	Prolong outpt/office vis	24	22	$2K
87807		127	106	$1K
81003		409	391	$649.14
81025		95	93	$632.31
J1100	Injection, dexamethasone sodium phosphate, 1 mg	319	276	$309.66
86580		26	26	$185.11
A9150	Non-prescription drugs	491	405	$3.75
96160		14	14	$2.53