Medicaid Provider Spending

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

URGENT CARE OF GRAND LAKE PLLC

NPI: 1154022689 · GROVE, OK 74344 · Urgent Care Clinic/Center · NPI assigned 03/13/2023

$250K
Total Medicaid Paid
3,805
Total Claims
3,630
Beneficiaries
9
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPERKINS, CHAD (OWNER/CEO)
NPI Enumeration Date03/13/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 756 $51K
2024 3,049 $199K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 984 983 $91K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,104 975 $84K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 159 159 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 155 153 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 558 541 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 502 487 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 263 257 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 41 39 $509.19
87807 39 36 $453.84