Medicaid Provider Spending

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

5 MINUTE WALK-IN CLINIC LLC

NPI: 1154645273 · SAN LUIS, AZ 85349 · Physician Assistant · NPI assigned 03/18/2010

$79K
Total Medicaid Paid
2,465
Total Claims
1,929
Beneficiaries
9
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialVEGA, GILBERT (OWNER)
NPI Enumeration Date03/18/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,076 $33K
2019 1,315 $44K
2020 74 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,179 877 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 560 458 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 97 75 $1K
90686 112 90 $959.67
90460 Immunization administration through 18 years of age via any route, first or only component 36 31 $605.56
36415 Collection of venous blood by venipuncture 424 356 $536.04
99401 12 12 $221.77
90658 33 18 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 12 12 $0.00