Medicaid Provider Spending

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

WEST DEARBORN URGENT CARE PLLC

NPI: 1124788666 · DEARBORN, MI 48124 · Internal Medicine Physician · NPI assigned 12/25/2021

$967K
Total Medicaid Paid
24,056
Total Claims
20,074
Beneficiaries
21
Codes Billed
2022-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALKHOURY, GHATTAS (MEDICAL DOCTOR/OWNER)
NPI Enumeration Date12/25/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 4,041 $174K
2023 9,748 $376K
2024 10,267 $417K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,084 6,093 $523K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,179 2,171 $158K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,181 1,052 $96K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,670 2,474 $70K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 343 335 $34K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,183 1,164 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,050 1,944 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,565 1,312 $16K
71046 Radiologic examination, chest; 2 views 395 376 $7K
36415 Collection of venous blood by venipuncture 1,042 964 $4K
81002 496 474 $1K
81025 192 188 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 470 440 $831.32
87807 83 80 $520.80
J1885 Injection, ketorolac tromethamine, per 15 mg 259 219 $483.01
87276 39 38 $305.90
87275 39 38 $233.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg 636 583 $182.10
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 100 80 $143.78
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 14 $74.35
99051 36 35 $0.00