Medicaid Provider Spending

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

SOUTH ATLANTA URGENT CARE CLINIC LLC

NPI: 1144548363 · ATLANTA, GA 30349 · Urgent Care Clinic/Center · NPI assigned 05/12/2010

$131K
Total Medicaid Paid
1,357
Total Claims
1,266
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialAMOA-BONSU, FELIX (OWNER)
NPI Enumeration Date05/12/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 358 $44K
2019 603 $49K
2020 93 $11K
2024 303 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 549 511 $44K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 286 283 $27K
S9083 Global fee urgent care centers 250 238 $24K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 78 74 $17K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 74 48 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 32 32 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26 24 $2K
81025 17 15 $0.00
81003 45 41 $0.00