SABINE URGENT CARE, LLC
NPI: 1104288976
· MANY, LA 71449
· 261QU0200X
$2.54M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,450 |
$279K |
| 2019 |
13,039 |
$341K |
| 2020 |
4,653 |
$140K |
| 2021 |
27,170 |
$318K |
| 2022 |
25,236 |
$496K |
| 2023 |
17,008 |
$509K |
| 2024 |
12,217 |
$459K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
31,246 |
17,624 |
$1.73M |
| 99214 |
|
16,062 |
10,630 |
$393K |
| 99213 |
|
20,914 |
12,642 |
$125K |
| 99203 |
|
3,757 |
2,479 |
$120K |
| 87502 |
|
1,205 |
945 |
$64K |
| 99051 |
|
7,183 |
5,029 |
$52K |
| 99204 |
|
375 |
285 |
$25K |
| 96372 |
|
10,153 |
6,100 |
$10K |
| 87880 |
|
2,872 |
2,102 |
$10K |
| 99212 |
|
3,251 |
1,793 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
3,762 |
2,721 |
$4K |
| 87807 |
|
192 |
146 |
$2K |
| 99202 |
|
27 |
27 |
$2K |
| 94640 |
|
274 |
179 |
$970.98 |
| J1100 |
Dexamethasone sodium phos |
4,360 |
2,857 |
$745.88 |
| 81002 |
|
1,253 |
754 |
$619.21 |
| 99392 |
|
228 |
147 |
$171.16 |
| 90471 |
|
922 |
605 |
$29.40 |
| 92551 |
|
359 |
227 |
$23.92 |
| 90472 |
|
498 |
313 |
$18.26 |
| 83655 |
|
202 |
120 |
$9.63 |
| 85018 |
|
834 |
499 |
$6.14 |
| 99211 |
|
251 |
77 |
$5.22 |
| 99173 |
|
432 |
266 |
$3.53 |
| J1885 |
Ketorolac tromethamine inj |
414 |
246 |
$3.01 |
| J7644 |
Ipratropium bromide non-comp |
55 |
39 |
$0.16 |
| J7620 |
Albuterol ipratrop non-comp |
55 |
39 |
$0.12 |
| J7609 |
Albuterol comp unit |
126 |
72 |
$0.00 |
| 90686 |
|
18 |
15 |
$0.00 |
| 86308 |
|
24 |
12 |
$0.00 |
| 90716 |
|
46 |
25 |
$0.00 |
| 90651 |
|
21 |
12 |
$0.00 |
| 90670 |
|
91 |
53 |
$0.00 |
| 90707 |
|
45 |
24 |
$0.00 |
| 90633 |
|
42 |
30 |
$0.00 |
| 99393 |
|
111 |
81 |
$0.00 |
| 90734 |
|
42 |
31 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
24 |
17 |
$0.00 |
| 87804 |
|
18 |
16 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 99394 |
|
14 |
12 |
$0.00 |