Medicaid Provider Spending

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

PELICAN URGENT CARE, MS, LLC

NPI: 1134641665 · PICAYUNE, MS 39466 · Emergency Care Clinic/Center · NPI assigned 07/17/2017

$246K
Total Medicaid Paid
5,782
Total Claims
4,463
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialKRIEGER, BRYAN (AUTHORIZED OFFICIAL)
NPI Enumeration Date07/17/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,831 $65K
2019 2,946 $127K
2020 1,005 $55K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,774 1,412 $90K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,404 1,169 $81K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,513 1,299 $62K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 741 304 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 44 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 186 155 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 82 65 $599.08
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 25 15 $334.11